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General NPI Number Information
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NPI Number | 1003731597
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Entity Type | Individual
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Provider Name | CAITLIN DERMODY
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Gender | Female
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 70 WHITING AVE
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City | DEDHAM
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State | MA
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Zip | 02026-3046
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Country | US
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Telephone | 781-915-4457
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Fax |
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Provider Business Mailing Address
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Address Line | 791 SOUTH ST UNIT 6
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City | WRENTHAM
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State | MA
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Zip | 02093-1517
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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 | SLP96249
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License Number State | MA
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