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General NPI Number Information
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NPI Number | 1760916704
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Entity Type | Organization
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Legal Business Name | BILINGUAL THERASPEECH CORP
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 83-85 116TH STREET SUITE 5E
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City | RICHMOND HILL
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State | NY
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Zip | 11418-3410
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Country | US
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Telephone | 212-470-4696
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Fax |
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Provider Business Mailing Address
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Address Line | 83-85 116TH STREET SUITE 5E
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City | RICHMOND HILL
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State | NY
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Zip | 11418-3410
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Country | US
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Telephone | 212-470-4696
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Fax |
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Authorized Official
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Title or Position | SLP
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Name | SILVIA MARIA CACERES
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Credential | MS
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Telephone | 212-470-4696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 021725-1
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License Number State | NY
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