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General NPI Number Information
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NPI Number | 1871118521
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Entity Type | Organization
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Legal Business Name | YOUNIQUE LLC
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 300 BAY 19TH ST # 1A
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City | BROOKLYN
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State | NY
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Zip | 11214-6004
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Country | US
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Telephone | 347-592-7430
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Fax |
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Provider Business Mailing Address
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Address Line | 300 BAY 19TH ST # 1A
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City | BROOKLYN
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State | NY
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Zip | 11214-6004
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Country | US
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Telephone | 347-592-7430
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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 | CRISTA B CONTO
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Credential | M.A.,CCC-SLP,TSSLD
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Telephone | 347-592-7430
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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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