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General NPI Number Information
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NPI Number | 1922175579
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Entity Type | Individual
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Provider Name | AMBER L GOOLBIS M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 55 COE DR
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City | DURHAM
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State | NH
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Zip | 03824-2232
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Country | US
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Telephone | 603-868-2375
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Fax |
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Provider Business Mailing Address
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Address Line | 271 LITTLEWORTH RD
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City | MADBURY
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State | NH
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Zip | 03823-7523
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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 | 1120
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License Number State | NH
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