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General NPI Number Information
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NPI Number | 1124754429
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Entity Type | Individual
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Provider Name | KATHLEEN WEISZ M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 275 GROVE STREET SUITE 2-400
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City | NEWTON
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State | MA
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Zip | 02466-0246
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Country | US
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Telephone | 617-969-8255
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Fax |
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Provider Business Mailing Address
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Address Line | 15 PURITAN RD
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City | ARLINGTON
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State | MA
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Zip | 02476-7710
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Country | US
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Telephone | 617-969-8255
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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 | 78549
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License Number State | MA
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