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General NPI Number Information
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NPI Number | 1700152717
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Entity Type | Organization
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Legal Business Name | BILINGUAL FAMILY THERAPY CORP.
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Dates
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Enumeration Date | 03/24/2012
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Last Update Date | 03/24/2012
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Provider Practice Location Address
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Address Line | 182 BAYVILLE AVE
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City | BAYVILLE
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State | NY
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Zip | 11709-1660
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Country | US
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Telephone | 516-802-0440
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Fax | 516-802-0440
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Provider Business Mailing Address
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Address Line | 182 BAYVILLE AVE
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City | BAYVILLE
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State | NY
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Zip | 11709-1660
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Country | US
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Telephone | 516-802-0440
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Fax | 516-802-0440
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. MIRYAN M FLORES
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Credential | M.D.
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Telephone | 516-802-0440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | NY
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