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General NPI Number Information
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NPI Number | 1679700603
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Entity Type | Individual
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Provider Name | JENNIFER CHRISTINE BILSKI SHEA MS-CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 574 MAIN ST
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City | WEYMOUTH
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State | MA
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Zip | 02190-1818
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Country | US
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Telephone | 781-331-2533
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Fax |
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Provider Business Mailing Address
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Address Line | 67 CLIFF ST
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City | QUINCY
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State | MA
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Zip | 02169-1421
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Country | US
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Telephone | 631-553-5622
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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 | 7705
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License Number State | MA
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