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General NPI Number Information
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NPI Number | 1508775255
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Entity Type | Organization
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Legal Business Name | MOXIE SPEECH LANGUAGE THERAPY SERVICES PLLC
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 94 ZEPHYR RD
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City | WILLISTON
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State | VT
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Zip | 05495-7414
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Country | US
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Telephone | 802-227-2707
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Fax | 802-341-6597
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Provider Business Mailing Address
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Address Line | 94 ZEPHYR RD
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City | WILLISTON
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State | VT
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Zip | 05495-7414
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Country | US
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Telephone | 802-227-2707
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Fax | 802-341-6597
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Authorized Official
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Title or Position | OWNER
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Name | JORDYN DEMONT
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Credential | MS., CCC-SLP
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Telephone | 607-342-2982
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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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