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General NPI Number Information
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NPI Number | 1992411227
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Entity Type | Organization
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Legal Business Name | SALT, SAND, & SPEECH
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 1250 BOSTON POST RD
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City | GUILFORD
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State | CT
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Zip | 06437-2452
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Country | US
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Telephone | 203-500-8247
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 BOSTON POST RD
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City | GUILFORD
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State | CT
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Zip | 06437-2452
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Country | US
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Telephone | 203-500-8247
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST/OWNER
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Name | SHAUNA I CLIFFORD
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Credential | SLP-CCC
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Telephone | 203-500-8247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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