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General NPI Number Information
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NPI Number | 1962883447
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Entity Type | Individual
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Provider Name | ASHLEIGH DILAURENZIO M.A., CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/10/2015
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Last Update Date | 06/10/2015
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Provider Practice Location Address
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Address Line | 99 S CANAAN RD
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City | CANAAN
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State | CT
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Zip | 06018-2502
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Country | US
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Telephone | 860-824-2623
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Fax |
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Provider Business Mailing Address
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Address Line | 33 SCHOOL ST
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City | TORRINGTON
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State | CT
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Zip | 06790-3813
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Country | US
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Telephone | 860-806-1297
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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