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General NPI Number Information
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NPI Number | 1659864833
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Entity Type | Organization
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Legal Business Name | DOUBLE TALK - BILINGUAL SPEECH THERAPY SERVICES
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 240 REDTAIL RD SUITE 12A
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City | ORCHARD PARK
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State | NY
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Zip | 14127
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Country | US
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Telephone | 716-713-6104
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 94
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City | COLLINS CENTER
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State | NY
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Zip | 14035
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Country | US
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Telephone | 716-713-6104
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTA HAMMER
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Credential | MS CCC-SLP
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Telephone | 716-713-6104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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