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General NPI Number Information
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NPI Number | 1811703275
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Entity Type | Organization
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Legal Business Name | UNIQUE STRIDES THERAPY
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 1401 PLYMOUTH ST
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City | EAST BRIDGEWATER
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State | MA
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Zip | 02333-2416
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Country | US
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Telephone | 713-584-9758
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 PLYMOUTH ST
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City | EAST BRIDGEWATER
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State | MA
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Zip | 02333-2416
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Country | US
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Telephone | 713-584-9758
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Fax |
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Authorized Official
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Title or Position | SPEECH THERAPIST
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Name | NWANNEKA UDEKA
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Credential | SLP
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Telephone | 713-584-9758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA3000X
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Taxonomy Name | Augmentative Communication Clinic/Center
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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 | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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