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General NPI Number Information
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NPI Number | 1851765390
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Entity Type | Organization
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Legal Business Name | ALL IN 1 S.P.O.T. WITH THERATALK, SLP, PT, OT, PLLC.
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Dates
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Enumeration Date | 11/20/2015
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Last Update Date | 11/20/2015
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Provider Practice Location Address
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Address Line | 150-50 14 ROAD
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City | WHITESTONE
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State | NY
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Zip | 11357
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Country | US
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Telephone | 718-767-0071
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Fax |
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Provider Business Mailing Address
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Address Line | 150-50 14 ROAD
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City | WHITESTONE
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State | NY
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Zip | 11357
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Country | US
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Telephone | 718-767-0071
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Fax |
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Authorized Official
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Title or Position | CO-DIRECTOR
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Name | MRS. MARIA PANAYIOTOU
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Credential | M.A., CCC-SLP
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Telephone | 718-767-0071
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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 |
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License Number State | NY
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