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General NPI Number Information
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NPI Number | 1982546651
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Entity Type | Organization
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Legal Business Name | CONNECTED SPEECH FEEDING THERAPEUTICS, PLLC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 11 FRANKLIN AVE APT A
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City | GLEN COVE
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State | NY
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Zip | 11542-2796
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Country | US
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Telephone | 516-713-9967
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Fax |
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Provider Business Mailing Address
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Address Line | 11 FRANKLIN AVE APT A
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City | GLEN COVE
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State | NY
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Zip | 11542-2796
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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 | PRESIDENT
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Name | JULIA M GONZALEZ
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Credential |
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Telephone | 516-713-9967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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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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