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General NPI Number Information
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NPI Number | 1891938536
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Entity Type | Organization
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Legal Business Name | CHILDREN'S SPEECH AND HEARING SPECIALISTS
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Dates
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Enumeration Date | 04/10/2009
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Last Update Date | 04/10/2009
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Provider Practice Location Address
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Address Line | 180 MASSACHUSETTS AVE SUITE 301
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City | ARLINGTON
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State | MA
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Zip | 02474-8448
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Country | US
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Telephone | 781-483-3171
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Fax | 781-483-3162
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Provider Business Mailing Address
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Address Line | 180 MASSACHUSETTS AVE SUITE 301
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City | ARLINGTON
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State | MA
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Zip | 02474-8448
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Country | US
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Telephone | 781-483-3171
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Fax | 781-483-3162
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Authorized Official
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Title or Position | OWNER
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Name | MS. DANIELLE JARJURA
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Credential | MS
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Telephone | 781-483-3171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 17105
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License Number State | MA
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