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General NPI Number Information
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NPI Number | 1861272825
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Entity Type | Organization
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Legal Business Name | SPEECH LANGUAGE PLAY NYC, PLLC
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 26 COURT ST STE 409
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City | BROOKLYN
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State | NY
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Zip | 11242-1134
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Country | US
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Telephone | 917-830-5955
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Fax |
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Provider Business Mailing Address
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Address Line | 26 COURT ST STE 409
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City | BROOKLYN
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State | NY
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Zip | 11242-1134
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEGHAN O'GRADY
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Credential | MED, MS CCC-SLP
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Telephone | 717-364-8428
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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 |
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License Number State |
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