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General NPI Number Information
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NPI Number | 1760828305
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Entity Type | Organization
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Legal Business Name | SPERLING SPEECH ASSOCIATES LLC
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Dates
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Enumeration Date | 05/21/2013
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 344 MAIN ST STE A
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City | METUCHEN
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State | NJ
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Zip | 08840-2432
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Country | US
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Telephone | 732-689-1209
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Fax | 732-321-0164
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Provider Business Mailing Address
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Address Line | 344 MAIN ST STE A
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City | METUCHEN
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State | NJ
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Zip | 08840-2432
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Country | US
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Telephone | 732-689-1209
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Fax | 732-321-0164
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Authorized Official
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Title or Position | MANAGING MEMBER/ SPEECH PATHOLOGIST
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Name | MS. HEIDI SPERLING-FREEMAN
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Credential | M.S.CCC
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Telephone | 732-689-1209
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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 | YS00803
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License Number State | NJ
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