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General NPI Number Information
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NPI Number | 1871003392
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Entity Type | Organization
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Legal Business Name | INESSA'S SLP SERVICES, P.C.
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 10/10/2017
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Provider Practice Location Address
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Address Line | 8509 217TH ST
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City | QUEENS VILLAGE
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State | NY
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Zip | 11427-1427
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Country | US
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Telephone | 718-690-8438
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Fax |
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Provider Business Mailing Address
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Address Line | 8509 217TH ST
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City | QUEENS VILLAGE
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State | NY
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Zip | 11427-1427
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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 | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. INESSA MOSHEYEVA
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Credential | M.S. CCC-SLP
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Telephone | 718-690-8438
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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 |
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