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General NPI Number Information
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NPI Number | 1184907347
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Entity Type | Individual
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Provider Name | CHRISTINE WALSH MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/23/2011
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 194 HAIGHT RD
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City | AMENIA
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State | NY
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Zip | 12501-5234
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Country | US
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Telephone | 845-373-4106
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Fax |
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Provider Business Mailing Address
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Address Line | 963 COUNTY ROUTE 19
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City | ELIZAVILLE
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State | NY
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Zip | 12523-1238
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Country | US
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Telephone | 845-546-6717
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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 | 58 018974
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 018974
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License Number State | NY
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