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General NPI Number Information
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NPI Number | 1952949315
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Entity Type | Individual
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Provider Name | ANGELA MARIE ROBICHAUD CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/17/2019
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 910 BOSTON TPKE STE 3
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City | SHREWSBURY
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State | MA
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Zip | 01545-3396
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Country | US
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Telephone | 617-996-1260
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Fax |
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Provider Business Mailing Address
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Address Line | 222 BROOKS ST APT 324
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City | WORCESTER
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State | MA
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Zip | 01606-3334
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Country | US
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Telephone | 978-590-9042
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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 | 77473
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License Number State | MA
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