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General NPI Number Information
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NPI Number | 1811196884
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Entity Type | Organization
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Legal Business Name | ON-SITE THERAPISTS, INC.
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 121B HAWTHORNE ST #1
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City | CHELSEA
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State | MA
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Zip | 02150-3275
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Country | US
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Telephone | 617-872-1030
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Fax |
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Provider Business Mailing Address
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Address Line | 121B HAWTHORNE ST #1
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City | CHELSEA
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State | MA
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Zip | 02150-3275
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Country | US
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Telephone | 617-872-1030
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ELLEN HEMRICK
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Credential | MS, CCC-SLP
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Telephone | 617-872-1030
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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 | 5273
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License Number State | MA
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