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General NPI Number Information
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NPI Number | 1508033564
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Entity Type | Organization
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Legal Business Name | COMMUNICATION INNOVATIONS, LLC
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 2995 SUB ZERO PKWY
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City | FITCHBURG
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State | WI
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Zip | 53719-8801
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Country | US
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Telephone | 608-819-6394
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 411521
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City | BOSTON
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State | MA
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Zip | 02241-1521
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Country | US
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Telephone | 608-819-6394
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR OF PROVIDER RELATIONS
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Name | ASHLEY GRIFFITHS
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Credential |
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Telephone | 914-294-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2559-154
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License Number State | WI
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