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General NPI Number Information
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NPI Number | 1861737413
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Entity Type | Individual
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Provider Name | DANIELLE PINTO M.A, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/10/2012
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 75 CRYSTAL RUN RD STE 201
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City | MIDDLETOWN
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State | NY
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Zip | 10941-7010
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Country | US
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Telephone | 439-184-5692
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Fax |
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Provider Business Mailing Address
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Address Line | 7 PARK BLVD
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City | HYDE PARK
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State | NY
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Zip | 12538-2151
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 022441
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License Number State | NY
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