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General NPI Number Information
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NPI Number | 1972137719
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Entity Type | Organization
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Legal Business Name | BATAVIA SPEECH SERVICES
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Dates
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Enumeration Date | 03/02/2020
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 5566 JERICO RD
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City | EAST BETHANY
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State | NY
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Zip | 14054-9619
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Country | US
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Telephone | 585-993-1114
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Fax |
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Provider Business Mailing Address
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Address Line | 5566 JERICO RD
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City | EAST BETHANY
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State | NY
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Zip | 14054-9619
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Country | US
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Telephone | 585-201-7127
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMATINA FRANK
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Credential | MA, CCC-SLP
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Telephone | 706-207-6927
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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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