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General NPI Number Information
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NPI Number | 1639439375
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Entity Type | Individual
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Provider Name | RACHEL CANDACE NOIA M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/28/2012
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 21 WATERVILLE RD
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City | AVON
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State | CT
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Zip | 06001-2097
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Country | US
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Telephone | 203-895-9452
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Fax |
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Provider Business Mailing Address
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Address Line | 28 RIVENDELL DR
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City | SHELTON
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State | CT
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Zip | 06484-4332
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Country | US
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Telephone | 203-895-9452
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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 | 4243
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License Number State | CT
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