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General NPI Number Information
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NPI Number | 1902240500
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Entity Type | Individual
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Provider Name | LINDSAY B ROONEY MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 424 KINGS PARK DRIVE EXT APT C
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City | LIVERPOOL
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State | NY
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Zip | 13090-2778
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Country | US
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Telephone | 315-657-6147
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Fax |
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Provider Business Mailing Address
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Address Line | 725 HARRISTON STREET
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City | SYRACUSE
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State | NY
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Zip | 13210
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Country | US
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Telephone | 315-657-6147
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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 | 022747
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License Number State | NY
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