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General NPI Number Information
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NPI Number | 1598097933
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Entity Type | Individual
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Provider Name | CHELSEA MUSTO M.A. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/10/2010
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 65 CORDAGE PARK CIR
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City | PLYMOUTH
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State | MA
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Zip | 02360-7322
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Country | US
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Telephone | 508-747-4720
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Fax |
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Provider Business Mailing Address
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Address Line | 54 BAYSHORE DR
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City | MASHPEE
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State | MA
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Zip | 02649-3967
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Country | US
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Telephone | 774-836-8570
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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 | SP-7639-SL
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License Number State | MA
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