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General NPI Number Information
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NPI Number | 1457559452
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Entity Type | Organization
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Legal Business Name | NORTHEAST HEARING AND SPEECH CENTER, INC.
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 75 W COMMERCIAL ST
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City | PORTLAND
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State | ME
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Zip | 04101-4797
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Country | US
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Telephone | 207-874-1065
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Fax | 207-874-1068
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Provider Business Mailing Address
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Address Line | 75 W COMMERCIAL ST
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City | PORTLAND
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State | ME
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Zip | 04101-4797
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Country | US
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Telephone | 207-874-1065
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Fax | 207-874-1068
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Authorized Official
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Title or Position | CEO
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Name | CAMERON GARRETT
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Credential |
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Telephone | 207-874-1065
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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