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NPI 1619719101

NPI 1619719101 : HABLAMOS : ERIE, PA

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General NPI Number Information
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    NPI Number           |    1619719101
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    Entity Type          |    Organization 
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    Legal Business Name  |    HABLAMOS 
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Dates
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    Enumeration Date     |    06/06/2024
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    Last Update Date     |    06/18/2024
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Provider Practice Location Address
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    Address Line         |    502 W 7TH ST STE 100 
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    City                 |    ERIE
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    State                |    PA
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    Zip                  |    16502-1333
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    Country              |    US
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    Telephone            |    215-317-0468
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 154 
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    City                 |    JENKINTOWN
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    State                |    PA
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    Zip                  |    19046-0154
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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    |    SPEECH-LANGUAGE PATHOLOGIST
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    Name                 |     POOJA  GAYEN 
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    Credential           |    
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    Telephone            |    215-317-0468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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