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General NPI Number Information
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NPI Number | 1730623877
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Entity Type | Organization
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Legal Business Name | ALLIANCE SPEECH & LANGUAGE CENTER, LLC
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Dates
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Enumeration Date | 12/08/2016
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 4691 HWY 9
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City | HOWELL
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State | NJ
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Zip | 07731-3384
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Country | US
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Telephone | 732-942-7220
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Fax | 732-942-7225
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Provider Business Mailing Address
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Address Line | 4691 HWY 9
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City | HOWELL
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State | NJ
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Zip | 07731-3384
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Country | US
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Telephone | 732-942-7220
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Fax | 732-942-7225
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Authorized Official
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Title or Position | OWNER, SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. SHIRA KIRSH
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Credential | MS, CCC-SLP
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Telephone | 732-942-7220
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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 | 41YS00198700
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License Number State | NJ
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