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NPI 1902051568

NPI 1902051568 : MAUREEN VIVIEN WEBB M.A. CCC-SLP : HARTSDALE, NY

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General NPI Number Information
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    NPI Number           |    1902051568
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    Entity Type          |    Individual 
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    Provider Name        |    MAUREEN VIVIEN WEBB M.A. CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/24/2008
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    Last Update Date     |    11/24/2008
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Provider Practice Location Address
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    Address Line         |    13 JOYCE RD 
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    City                 |    HARTSDALE
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    State                |    NY
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    Zip                  |    10530-2929
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    Country              |    US
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    Telephone            |    914-478-0606
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 351 
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    City                 |    NEW ROCHELLE
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    State                |    NY
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    Zip                  |    10804-0351
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    Country              |    US
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    Telephone            |    914-513-7279
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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       |    011836-1
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    License Number State |    NY
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