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General NPI Number Information
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NPI Number | 1497981757
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Entity Type | Organization
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Legal Business Name | STAMFORD PUBLIC SCHOOLS
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Dates
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Enumeration Date | 06/01/2009
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Last Update Date | 06/01/2009
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Provider Practice Location Address
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Address Line | 888 WASHINGTON BLVD
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City | STAMFORD
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State | CT
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Zip | 06901-2902
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Country | US
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Telephone | 203-977-5620
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Fax | 203-977-4678
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Provider Business Mailing Address
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Address Line | 888 WASHINGTON BLVD
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City | STAMFORD
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State | CT
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Zip | 06901-2902
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Country | US
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Telephone | 203-977-5620
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Fax | 203-977-4678
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Authorized Official
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Title or Position | DIRECTOR STUDENT SUPPORT SERVICES
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Name | MR. MICHAEL MEYER
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Credential |
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Telephone | 203-977-5620
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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 | 003870
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License Number State | CT
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