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General NPI Number Information
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NPI Number | 1639031008
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Entity Type | Individual
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Provider Name | COURTNEY RICHARDS
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Gender | Female
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 126 MONUMENT ST
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City | HAVERHILL
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State | MA
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Zip | 01832-2527
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Country | US
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Telephone | 978-373-1747
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Fax |
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Provider Business Mailing Address
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Address Line | 16 MCKENNEY CIR
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City | ANDOVER
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State | MA
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Zip | 01810-1313
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Country | US
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Telephone | 978-337-8886
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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 | SLP101000
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License Number State | MA
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