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General NPI Number Information
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NPI Number | 1942925672
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Entity Type | Organization
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Legal Business Name | NY SPEECH & LANGUAGE SERVICES
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 8 PRINCETON RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5512
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Country | US
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Telephone | 973-493-4567
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Fax |
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Provider Business Mailing Address
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Address Line | 8 PRINCETON RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5512
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Country | US
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Telephone | 973-493-4567
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. DEANNA GOLDSTEIN
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Credential |
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Telephone | 973-493-4567
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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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