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General NPI Number Information
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NPI Number | 1609176296
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Entity Type | Organization
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Legal Business Name | CABSLP, INC
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Dates
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Enumeration Date | 10/28/2010
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Last Update Date | 10/28/2010
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Provider Practice Location Address
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Address Line | 1 ROUNDHOUSE PLZ STE 202203 SUITE 203
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City | NORTHAMPTON
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State | MA
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Zip | 01060-4401
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Country | US
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Telephone | 413-586-1945
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Fax | 413-586-1946
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Provider Business Mailing Address
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Address Line | 109 BEACON ST
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City | GREENFIELD
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State | MA
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Zip | 01301-2603
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Country | US
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Telephone | 413-773-5008
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Fax | 413-586-1946
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CARLA A BERNIER
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Credential | MA, CCC-SLP
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Telephone | 413-773-5008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2099
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License Number State | MA
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