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General NPI Number Information
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NPI Number | 1669775193
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Entity Type | Individual
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Provider Name | SONIA CRISTINA ALONSO OBREGON MS SLP
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Gender | Female
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Dates
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Enumeration Date | 12/05/2010
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Last Update Date | 05/31/2016
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Provider Practice Location Address
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Address Line | 6 WILLIAMS BLVD APTO 1E
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City | LAKE GROVE
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State | NY
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Zip | 11755
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Country | US
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Telephone | 516-304-9618
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Fax |
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Provider Business Mailing Address
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Address Line | 6 WILLIAMS BLVD APTO 1E
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City | LAKE GROVE
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State | NY
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Zip | 11755-2450
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Country | US
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Telephone | 516-304-9618
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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 | 020637-1
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License Number State | NY
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