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General NPI Number Information
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NPI Number | 1689039216
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Entity Type | Organization
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Legal Business Name | CHARLINE VEYTSMAN MA CCC-SLP
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Dates
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Enumeration Date | 12/26/2015
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Last Update Date | 12/26/2015
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Provider Practice Location Address
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Address Line | 2 JUDITH DR
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-2109
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Country | US
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Telephone | 917-693-2172
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Fax |
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Provider Business Mailing Address
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Address Line | 2 JUDITH DR
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-2109
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Country | US
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Telephone | 917-693-2172
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Fax |
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | MS. CHARLINE VEYTSMAN
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Credential | MA
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Telephone | 917-693-2172
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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 | 012241-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 41YS00485000
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License Number State | NJ
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