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General NPI Number Information
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NPI Number | 1043013048
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Entity Type | Organization
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Legal Business Name | CONNECTWELL SPEECH AND LANGUAGE LLC
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 7 N CROSSING WAY
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City | BETHEL
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State | CT
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Zip | 06801-1660
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Country | US
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Telephone | 805-638-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 7 N CROSSING WAY
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City | BETHEL
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State | CT
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Zip | 06801-1660
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Country | US
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Telephone | 805-638-2255
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Fax |
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Authorized Official
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Title or Position | SLP
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Name | MS. SNEHA MANTRIPRAGADA
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Credential | CCC
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Telephone | 805-638-2255
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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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