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General NPI Number Information
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NPI Number | 1720483001
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Entity Type | Organization
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Legal Business Name | HOOKED ON LANGUAGE LLC
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Dates
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Enumeration Date | 10/28/2014
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Last Update Date | 10/28/2014
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Provider Practice Location Address
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Address Line | 133 N CREST PL
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City | LAKEWOOD
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State | NJ
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Zip | 08701-2989
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Country | US
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Telephone | 410-303-3668
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Fax | 732-905-0739
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Provider Business Mailing Address
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Address Line | 133 N CREST PL
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City | LAKEWOOD
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State | NJ
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Zip | 08701-2989
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Country | US
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Telephone | 410-303-3668
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Fax | 732-905-0739
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Authorized Official
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Title or Position | OWNER
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Name | ADINA B ROSSMAN
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Credential | SLP
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Telephone | 410-303-3668
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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 |
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License Number State |
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