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General NPI Number Information
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NPI Number | 1396457008
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Entity Type | Organization
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Legal Business Name | SPEAK EASY NEW ENGLAND LLC
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Dates
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Enumeration Date | 12/14/2022
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 23 WENTWORTH RD
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City | BERWICK
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State | ME
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Zip | 03901-2831
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Country | US
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Telephone | 207-613-6904
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Fax | 855-202-4634
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Provider Business Mailing Address
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Address Line | 23 WENTWORTH RD
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City | BERWICK
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State | ME
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Zip | 03901-2831
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Country | US
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Telephone | 207-613-6904
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Fax | 855-202-4634
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | KRISTIN MACINNIS
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Credential | MS, CCC-SLP
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Telephone | 207-613-6904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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