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General NPI Number Information
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NPI Number | 1912860271
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Entity Type | Organization
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Legal Business Name | MINDFUL SPEECH THERAPY LLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 52 MAIN AVE
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City | PASSAIC
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State | NJ
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Zip | 07055-4419
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Country | US
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Telephone | 973-432-3121
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Fax |
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Provider Business Mailing Address
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Address Line | 53 SPENCER AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-2813
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Country | US
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Telephone | 973-432-3121
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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 | MELISSA SZWEC
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Credential |
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Telephone | 973-432-3121
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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 |
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License Number State |
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