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General NPI Number Information
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NPI Number | 1134670508
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Entity Type | Individual
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Provider Name | HEATHER WOLFF M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 11/13/2017
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Provider Practice Location Address
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Address Line | 10 LANGLEY RD SUITE 305
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City | NEWTON
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State | MA
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Zip | 02459-1972
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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 | 377 ELLIOT ST
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City | NEWTON
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State | MA
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Zip | 02464-1126
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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 | 9309
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License Number State | MA
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