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General NPI Number Information
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NPI Number | 1447471016
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Entity Type | Individual
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Provider Name | OLIVIA BOYLE BURCH M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 1130 TEN ROD RD STE C104
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City | N KINGSTOWN
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State | RI
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Zip | 02852-4127
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Country | US
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Telephone | 401-404-5585
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Fax |
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Provider Business Mailing Address
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Address Line | 4 QUAIL CT
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City | EAST GREENWICH
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State | RI
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Zip | 02818-1569
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Country | US
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Telephone | 401-487-0562
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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 | SP01969
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License Number State | RI
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