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General NPI Number Information
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NPI Number | 1942270574
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Entity Type | Organization
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Legal Business Name | SPEECH-LANGUAGE AND HEARING ASSOCIATES OF GREATER BOSTON, PC
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 5 NORTH MEADOWS RD SLP ASSOCIATES PC
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City | MEDFIELD
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State | MA
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Zip | 02052-2317
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Country | US
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Telephone | 508-359-4532
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Fax | 508-359-0198
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Provider Business Mailing Address
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Address Line | 5 NORTH MEADOWS RD SLP ASSOCIATES PC
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City | MEDFIELD
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State | MA
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Zip | 02052-2317
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Country | US
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Telephone | 508-359-4532
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Fax | 508-359-0198
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MAURA G. MARKS
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Credential | PHD AUD CCC-A/SLP
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Telephone | 508-359-8158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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