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General NPI Number Information
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NPI Number | 1710627377
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Entity Type | Organization
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Legal Business Name | RACHELLE MAUER, SLP
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 7 BEECHES LN UNIT 10
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City | WOODSTOCK
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State | CT
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Zip | 06281-3436
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Country | US
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Telephone | 617-413-7425
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 203
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City | SOUTH WOODSTOCK
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State | CT
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Zip | 06267-0203
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | RACHELLE MAUER
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Credential | M.S. CCC/SLP
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Telephone | 617-413-7425
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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 |
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License Number State |
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