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General NPI Number Information
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NPI Number | 1609724467
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Entity Type | Organization
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Legal Business Name | THE GROWTH GARDEN COLLECTIVE LLC
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 256 S REGENT ST
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City | PORT CHESTER
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State | NY
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Zip | 10573-4758
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Country | US
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Telephone | 914-625-6788
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Fax |
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Provider Business Mailing Address
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Address Line | 7 HENKER FARM LN
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City | BEDFORD
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State | NY
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Zip | 10506-1916
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Country | US
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Telephone | 914-625-6788
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | DARIA ROSS
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Credential |
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Telephone | 914-625-6788
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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 |
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License Number State |
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