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General NPI Number Information
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NPI Number | 1336819978
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Entity Type | Individual
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Provider Name | NICOLE PAQUIN CCC SLP
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Gender | Female
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 4580 DEARBORN ST
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City | DENVER
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State | CO
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Zip | 80239-5424
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Country | US
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Telephone | 720-424-5070
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Fax |
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Provider Business Mailing Address
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Address Line | 13 MEADOWSWEET TRL
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City | ATTLEBORO
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State | MA
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Zip | 02703-6555
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Country | US
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Telephone | 150-824-3776
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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 | SP01721
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License Number State | RI
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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 | SLP78470
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP.0005632
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License Number State | CO
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