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General NPI Number Information
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NPI Number | 1962859736
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Entity Type | Organization
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Legal Business Name | BELLA SPEECH SENSORY WORLD & MORE LLC
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Dates
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Enumeration Date | 05/20/2016
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Last Update Date | 05/20/2016
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Provider Practice Location Address
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Address Line | 3266 RAILROAD AVE APT B
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City | WANTAGH
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State | NY
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Zip | 11793-3711
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Country | US
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Telephone | 516-663-4153
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Fax | 516-785-2303
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Provider Business Mailing Address
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Address Line | 3266 RAILROAD AVE APT B
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City | WANTAGH
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State | NY
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Zip | 11793-3711
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Country | US
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Telephone | 516-663-4153
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Fax | 516-785-2303
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA ANN BURZOTTA
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Credential | M.S., CCC-SLP, TSSLD
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Telephone | 516-633-4153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 021961-1
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License Number State | NY
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