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NPI 1962706549

NPI 1962706549 : ERIN DONNELLY COWLES SLP-CCC/L : WALTON, NY

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General NPI Number Information
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    NPI Number           |    1962706549
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    Entity Type          |    Individual 
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    Provider Name        |    ERIN DONNELLY COWLES SLP-CCC/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/22/2010
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    Last Update Date     |    12/22/2010
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Provider Practice Location Address
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    Address Line         |    42-66 NORTH ST 
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    City                 |    WALTON
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    State                |    NY
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    Zip                  |    13856-1300
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    Country              |    US
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    Telephone            |    607-865-5220
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    Fax                  |    607-865-9211
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Provider Business Mailing Address
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    Address Line         |    PO BOX 861 
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    City                 |    FRANKLIN
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    State                |    NY
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    Zip                  |    13775-0861
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    Country              |    US
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    Telephone            |    
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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       |    017461-1
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    License Number State |    NY
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