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General NPI Number Information
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NPI Number | 1871843714
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Entity Type | Individual
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Provider Name | JOSEPH C AURELIA JR. PHD CCCSLP
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Gender | Male
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 09/19/2012
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Provider Practice Location Address
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Address Line | 255 CENTRAL AVE
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City | CHELSEA
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State | MA
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Zip | 02150-3508
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Country | US
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Telephone | 617-660-2615
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Fax |
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Provider Business Mailing Address
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Address Line | 65 GARFIELD RD
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City | MELROSE
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State | MA
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Zip | 02176-3202
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Country | US
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Telephone | 781-662-5746
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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 | 0048
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License Number State | MA
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