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General NPI Number Information
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NPI Number | 1174437016
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Entity Type | Individual
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Provider Name | MICHAELA KOWALYK MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 65 WALNUT ST
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City | WELLESLEY
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State | MA
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Zip | 02481-2118
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Country | US
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Telephone | 781-489-3697
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Fax |
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Provider Business Mailing Address
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Address Line | 9 WHIPPLETREE RD
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City | CHELMSFORD
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State | MA
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Zip | 01824-1929
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Country | US
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Telephone | 978-886-7995
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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 | SLP101951
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License Number State | MA
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