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General NPI Number Information
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NPI Number | 1619488400
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Entity Type | Organization
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Legal Business Name | JULIE L. GASPARRI, M.S.ED., CCC-SLP, PLLC
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 10 MARJORIE LN
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City | LAGRANGEVILLE
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State | NY
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Zip | 12540-5100
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Country | US
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Telephone | 914-523-3218
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Fax |
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Provider Business Mailing Address
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Address Line | 10 MARJORIE LN
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City | LAGRANGEVILLE
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State | NY
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Zip | 12540-5100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ORGANIZER
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Name | JULIE L GASPARRI
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Credential | CCC-SLP
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Telephone | 914-523-3218
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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 | 012193-1
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License Number State | NY
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