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General NPI Number Information
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NPI Number | 1467240440
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE KUSS M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 12 S MAIN ST
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City | PUTNAM
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State | CT
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Zip | 06260-1906
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Country | US
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Telephone | 860-928-8360
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Fax | 860-928-8361
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Provider Business Mailing Address
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Address Line | 100 SHREWSBURY ST UNIT 408
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City | BOYLSTON
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State | MA
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Zip | 01505-1734
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Country | US
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Telephone | 413-426-1652
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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 | 007974
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License Number State | CT
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