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General NPI Number Information
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NPI Number | 1710401591
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Entity Type | Organization
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Legal Business Name | SPEECH MATTERS, LLC
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 01/01/2019
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Provider Practice Location Address
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Address Line | 11 CHESTNUT ST STE 7
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City | ANDOVER
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State | MA
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Zip | 01810-3724
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Country | US
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Telephone | 978-296-4486
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Fax | 978-296-4448
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Provider Business Mailing Address
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Address Line | 11 CHESTNUT ST STE 7
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City | ANDOVER
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State | MA
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Zip | 01810-3724
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Country | US
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Telephone | 978-296-4486
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Fax | 978-296-4448
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | DEBRA GOLDMAN
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Credential | M.S., CCC/SLP
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Telephone | 978-296-4486
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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 | 3859
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License Number State | MA
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