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General NPI Number Information
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NPI Number | 1326559030
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Entity Type | Individual
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Provider Name | CAITLYN BEE HECOX M.A. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/20/2017
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 61B WILSON ST
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City | PORTLAND
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State | ME
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Zip | 04101-4448
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Country | US
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Telephone | 518-593-9347
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Fax |
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Provider Business Mailing Address
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Address Line | 146 STATE HOUSE STATION
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City | AUGUSTA
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State | ME
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Zip | 04333-0146
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Country | US
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Telephone | 518-593-9347
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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 | SP2772
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License Number State | ME
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