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General NPI Number Information
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NPI Number | 1841533957
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Entity Type | Organization
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Legal Business Name | LISA ROBATEAU & ASSOCIATES LLC
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 78 RYERSON ST GROUND FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11205-2595
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Country | US
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Telephone | 917-523-3113
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Fax | 866-856-5615
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Provider Business Mailing Address
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Address Line | 78 RYERSON ST GROUND FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11205-2595
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Country | US
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Telephone | 917-523-3113
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Fax | 866-856-5615
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. LISA D. ROBATEAU-EPPS
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Credential | M.S. SLP
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Telephone | 917-523-3113
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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 | 007166
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License Number State | NY
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