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General NPI Number Information
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NPI Number | 1154672418
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Entity Type | Individual
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Provider Name | LINDSAY SMITH MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 09/27/2012
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Provider Practice Location Address
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Address Line | 400 LINDEN PONDS WAY
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City | HINGHAM
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State | MA
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Zip | 02043-3784
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Country | US
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Telephone | 781-534-7037
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Fax |
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Provider Business Mailing Address
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Address Line | 440 COMMERCIAL ST APT 301
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City | BOSTON
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State | MA
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Zip | 02109-1045
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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 | 8479
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License Number State | MA
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