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NPI 1679845895

NPI 1679845895 : NOREEN RUSSINI M.S. ED, TSSLD : PALISADES, NY

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General NPI Number Information
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    NPI Number           |    1679845895
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    Entity Type          |    Individual 
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    Provider Name        |    NOREEN RUSSINI M.S. ED, TSSLD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/03/2012
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    680 OAK TREE RD 
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    City                 |    PALISADES
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    State                |    NY
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    Zip                  |    10964-1532
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    Country              |    US
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    Telephone            |    845-359-8849
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    680 OAK TREE RD 
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    City                 |    PALISADES
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    State                |    NY
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    Zip                  |    10964-1532
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    Country              |    US
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    Telephone            |    845-359-8849
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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        |    2355S0801X
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    Taxonomy Name        |    Speech-Language Assistant
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    License Number       |    
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    License Number State |    NY
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