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General NPI Number Information
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NPI Number | 1609277011
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Entity Type | Organization
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Legal Business Name | SYRACUSE CITY SCHOOL DISTRICT
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Dates
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Enumeration Date | 09/05/2014
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Last Update Date | 09/05/2014
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Provider Practice Location Address
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Address Line | 345 JAMESVILLE AVE
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City | SYRACUSE
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State | NY
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Zip | 13210-3211
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Country | US
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Telephone | 315-435-4404
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Fax |
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Provider Business Mailing Address
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Address Line | 1647 RIGGALL RD B
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City | MARIETTA
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State | NY
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Zip | 13110-8710
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Country | US
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Telephone | 315-783-4729
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Fax |
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Authorized Official
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Title or Position | TSA SPECIAL EDUCATION
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Name | MS. SALLY STROUGH
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Credential |
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Telephone | 315-435-4204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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