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General NPI Number Information
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NPI Number | 1801723739
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Entity Type | Individual
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Provider Name | SYDNEY HELENE CONDRON M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 1 CABOT RD
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City | MEDFORD
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State | MA
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Zip | 02155-5117
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Country | US
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Telephone | 617-591-6840
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Fax |
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Provider Business Mailing Address
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Address Line | 74 GATES ST APT 1
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City | BOSTON
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State | MA
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Zip | 02127-3875
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Country | US
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Telephone | 412-720-3504
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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 | SLP102098
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License Number State | MA
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