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General NPI Number Information
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NPI Number | 1720893951
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Entity Type | Organization
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Legal Business Name | GROW AND PLAY SPEECH LLC
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 273 JAMES ST
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4105
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Country | US
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Telephone | 347-988-7387
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Fax |
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Provider Business Mailing Address
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Address Line | 273 JAMES ST
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4105
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Country | US
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Telephone | 347-988-7387
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Fax |
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Authorized Official
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Title or Position | BILLER
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Name | TZVI GOLOVENZITZ
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Credential |
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Telephone | 347-239-8622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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