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General NPI Number Information
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NPI Number | 1811354392
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Entity Type | Organization
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Legal Business Name | RSB ASSOCIATES D.B.A. ARLYNE E RUSSO
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 01/28/2016
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Provider Practice Location Address
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Address Line | 1481 FAIRFIELD BEACH RD
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City | FAIRFIELD
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State | CT
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Zip | 06824-6520
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Country | US
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Telephone | 203-255-5604
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Fax |
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Provider Business Mailing Address
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Address Line | 1481 FAIRFIELD BEACH RD
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City | FAIRFIELD
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State | CT
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Zip | 06824-6520
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Country | US
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Telephone | 203-255-5604
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | DR. ARLYNE E RUSSO
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Credential | SLP
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Telephone | 203-255-5604
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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 | 0343
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License Number State | CT
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