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General NPI Number Information
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NPI Number | 1760960967
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Entity Type | Individual
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Provider Name | COURTNEY JAYNE LIGOR MCD CCC SLP
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Gender | Female
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 239 PLEASANT ST
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City | CONCORD
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State | NH
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Zip | 03301-7504
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Country | US
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Telephone | 603-224-6561
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Fax |
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Provider Business Mailing Address
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Address Line | 3 MARLA CIR
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City | TYNGSBORO
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State | MA
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Zip | 01879
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Country | US
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Telephone | 978-888-3921
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP77427
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License Number State | MA
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