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General NPI Number Information
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NPI Number | 1376667493
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Entity Type | Individual
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Provider Name | JENNIFER S LIVINGSTONE MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 37 MAGAZINE ST.
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City | BEDFORD
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State | NH
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Zip | 03110
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Country | US
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Telephone | 603-472-9732
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Fax |
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Provider Business Mailing Address
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Address Line | 248 LITTLETON RD
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City | WESTFORD
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State | MA
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Zip | 01886
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Country | US
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Telephone | 617-519-3011
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Fax | 978-788-7955
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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 | 6998
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License Number State | MA
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