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General NPI Number Information
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NPI Number | 1649675976
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Entity Type | Individual
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Provider Name | ALICIA CACCIAPAGLIA M.A.
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Gender | Female
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 399 CONKLIN ST SUITE 303
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City | FARMINGDALE
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State | NY
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Zip | 11735-2614
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Country | US
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Telephone | 516-249-5477
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 GREAT NECK RD
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City | COPIAGUE
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State | NY
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Zip | 11726-1600
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Country | US
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Telephone | 631-842-4015
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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 |
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License Number State |
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