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General NPI Number Information
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NPI Number | 1285839621
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Entity Type | Individual
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Provider Name | MR. RICHARD CARPENTER
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Gender | Male
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Dates
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Enumeration Date | 06/17/2007
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Last Update Date | 08/30/2013
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Provider Practice Location Address
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Address Line | 25 PINE GRV
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City | AMHERST
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State | MA
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Zip | 01002-2740
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Country | US
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Telephone | 413-530-4925
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Fax |
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Provider Business Mailing Address
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Address Line | 13 OLD SOUTH ST SUITE 2J
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City | NORTHAMPTON
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State | MA
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Zip | 01060-3840
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Country | US
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Telephone | 413-530-4925
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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 | 3954
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License Number State | MA
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