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General NPI Number Information
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NPI Number | 1497243604
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Entity Type | Individual
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Provider Name | REBECCA LYNN MOLTEN MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 855 WATERMAN AVE STE B
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-1700
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Country | US
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Telephone | 401-359-4898
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Fax |
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Provider Business Mailing Address
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Address Line | 29 NEW YORK AVE
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City | CUMBERLAND
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State | RI
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Zip | 02864-5711
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Country | US
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Telephone | 518-365-4076
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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 | 76838-SP-SL
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP01485
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License Number State | RI
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