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General NPI Number Information
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NPI Number | 1609667294
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Entity Type | Individual
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Provider Name | SUMMER ANN SVITAVSKY
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Gender | Female
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 100 DUFFY AVE STE 510
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City | HICKSVILLE
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State | NY
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Zip | 11801-3636
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Country | US
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Telephone | 631-600-3029
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Fax |
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Provider Business Mailing Address
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Address Line | 21 WEST ST APT 29A
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City | NEW YORK
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State | NY
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Zip | 10006-2933
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Country | US
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Telephone | 440-856-3962
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 37153
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License Number State | PA
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