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General NPI Number Information
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NPI Number | 1669826756
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Entity Type | Organization
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Legal Business Name | FRAN KRIVIT MA CCC/SLP PC
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Dates
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Enumeration Date | 04/15/2016
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Last Update Date | 04/15/2016
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Provider Practice Location Address
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Address Line | 486 BERRY HILL RD
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City | SYOSSET
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State | NY
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Zip | 11791-1103
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Country | US
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Telephone | 516-353-9670
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Fax |
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Provider Business Mailing Address
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Address Line | 486 BERRY HILL RD
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City | SYOSSET
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State | NY
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Zip | 11791-1103
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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 | SLP
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Name | FRAN KRIVIT
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Credential | MA CCC
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Telephone | 516-353-9670
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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 | 008119-1
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License Number State | NY
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