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General NPI Number Information
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NPI Number | 1821171059
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MASSACHUSETTS
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 358 NORTH PLEASANT ST
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City | AMHERST
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State | MA
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Zip | 01003-9296
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Country | US
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Telephone | 413-545-2565
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Fax | 413-545-0803
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Provider Business Mailing Address
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Address Line | 358 NORTH PLEASANT ST
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City | AMHERST
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State | MA
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Zip | 01003-9296
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Country | US
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Telephone | 413-545-2565
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Fax | 413-545-0803
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Authorized Official
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Title or Position | INTERIM CLINIC DIRECTOR
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Name | DR. PATRICIA A MERCAITIS
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Credential | PHD CCCSLP
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Telephone | 413-545-2007
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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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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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