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General NPI Number Information
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NPI Number | 1396168746
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Entity Type | Individual
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Provider Name | RORY O'CHRISTENSEN MALLOY M.A. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/21/2014
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 29 SEA RD
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City | KENNEBUNK
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State | ME
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Zip | 04043-7214
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Country | US
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Telephone | 207-985-1105
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Fax |
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Provider Business Mailing Address
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Address Line | 7 E BRANCH DR
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City | ALFRED
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State | ME
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Zip | 04002-3372
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Country | US
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Telephone | 781-710-0328
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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 | 8561
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License Number State | MA
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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 | SP2521
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License Number State | ME
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