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General NPI Number Information
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NPI Number | 1881047280
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Entity Type | Organization
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Legal Business Name | FOUR C'S LEARNING AND THERAPY CENTER LLC
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 07/20/2016
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Provider Practice Location Address
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Address Line | 7012 PARK AVE 2ND FLOOR
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City | GUTTENBERG
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State | NJ
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Zip | 07093-4708
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Country | US
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Telephone | 201-364-2731
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Fax |
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Provider Business Mailing Address
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Address Line | 4012 LIBERTY AVE
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City | NORTH BERGEN
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State | NJ
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Zip | 07047-2585
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Country | US
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Telephone | 201-364-2731
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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 | CLAUDIA M. TRONZA
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Credential |
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Telephone | 201-364-2731
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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 | 41YS00830700
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License Number State | NJ
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