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General NPI Number Information
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NPI Number | 1871039586
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Entity Type | Individual
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Provider Name | SHANNON ELIZABETH CATTANI CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/19/2017
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 750 WAVERLY AVE
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City | HOLTSVILLE
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State | NY
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Zip | 11742-1108
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Country | US
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Telephone | 631-622-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 229 WYANDANCH RD
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City | SAYVILLE
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State | NY
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Zip | 11782-2222
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Country | US
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Telephone | 631-521-1128
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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 | 025533-1
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License Number State | NY
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