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General NPI Number Information
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NPI Number | 1003348517
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Entity Type | Organization
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Legal Business Name | CLEARY SPEECH & LANGUAGE SERVICES, LLC
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 04/03/2017
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Provider Practice Location Address
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Address Line | 5 QUEEN ANNE LN
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City | HINGHAM
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State | MA
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Zip | 02043-3904
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Country | US
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Telephone | 781-223-5596
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Fax |
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Provider Business Mailing Address
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Address Line | 5 QUEEN ANNE LN
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City | HINGHAM
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State | MA
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Zip | 02043-3904
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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 | OWNER/SPEECH-LANGUAGE PATHOLOGIST
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Name | JAIME CLEARY
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Credential | M.S., CCC-SLP
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Telephone | 781-223-5596
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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 | 6406
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License Number State | MA
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