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General NPI Number Information
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NPI Number | 1912638347
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Entity Type | Individual
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Provider Name | GRACE ELIZABETH HOLMES M.S., SLP
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Gender | Female
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1204 MAIN ST STE 218
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City | BRANFORD
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State | CT
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Zip | 06405-3787
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Country | US
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Telephone | 857-816-9078
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Fax |
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Provider Business Mailing Address
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Address Line | 32 INDEPENDENCE ST
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City | CANTON
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State | MA
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Zip | 02021-2218
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Country | US
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Telephone |
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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 |
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License Number State | MA
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