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General NPI Number Information
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NPI Number | 1114839057
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Entity Type | Individual
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Provider Name | BROOKE ELIZABETH BARRISS
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Gender | Female
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 274 MAIN STREET #302
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City | READING
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State | MA
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Zip | 01867-3671
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Country | US
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Telephone | 781-439-2178
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Fax |
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Provider Business Mailing Address
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Address Line | 40 STRATFORD RD
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City | MELROSE
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State | MA
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Zip | 02176-3213
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Country | US
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Telephone | 617-671-9223
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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 | SPL102392
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License Number State | MA
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