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General NPI Number Information
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NPI Number | 1265397418
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Entity Type | Organization
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Legal Business Name | COASTAL COMMUNICATION CENTER LLC
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 129 MAIN ST
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City | OLD SAYBROOK
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State | CT
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Zip | 06475-2377
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Country | US
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Telephone | 203-535-9684
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 145
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City | OLD SAYBROOK
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State | CT
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Zip | 06475-0145
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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 | SPEECH PATHOLOGIST
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Name | ALEXANDRA MOSS
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Credential | M.S. CCC-SLP
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Telephone | 203-535-9684
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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 |
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License Number State |
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