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General NPI Number Information
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NPI Number | 1417680752
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Entity Type | Individual
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Provider Name | BRIANNA GUYER
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Gender | Female
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 153 CORDAVILLE RD
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City | SOUTHBOROUGH
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State | MA
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Zip | 01772-1834
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Country | US
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Telephone | 888-828-4114
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Fax |
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Provider Business Mailing Address
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Address Line | 261 WALNUT ST APT 2
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City | BROOKLINE
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State | MA
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Zip | 02445-6729
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Country | US
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Telephone |
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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 | 78561-SP-SL
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License Number State | MA
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