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General NPI Number Information
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NPI Number | 1588501746
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Entity Type | Individual
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Provider Name | SAMANTHA GREGOIRE
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Gender | Female
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 1111 ELM ST STE 34
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-1540
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Country | US
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Telephone | 413-734-0107
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Fax |
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Provider Business Mailing Address
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Address Line | 114 HADLEY VILLAGE RD
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-2190
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Country | US
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Telephone |
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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