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General NPI Number Information
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NPI Number | 1891053237
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Entity Type | Individual
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Provider Name | CARISA FRIEL MA, CCC-SLP, TSSLD
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Gender | Female
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 1225 FRANKLIN AVE SUITE 325
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City | GARDEN CITY
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State | NY
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Zip | 11530-1691
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Country | US
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Telephone | 516-512-8905
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Fax | 866-541-7770
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Provider Business Mailing Address
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Address Line | 111 S CARLL AVE
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City | BABYLON
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State | NY
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Zip | 11702-3402
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Country | US
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Telephone | 631-482-1565
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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 | 018807-1
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License Number State | NY
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