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NPI Code Detail

MEDICARE: VAIDEHI SHAH

MEDICARE: VAIDEHI SHAH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist14154592MA

General Provider Information

NPI Number : 1205328424
Entity Type Code : Individual
Provider Name (Legal Business Name) : VAIDEHI SHAH
Provider Business Mailing Address
First Line : 41 GOULD RD
Second Line :
City : ANDOVER
State : MA
Zip : 01810-5210
Country : US
Telephone Number : 562-896-1278
Fax Number :
Provider Business Practice Location Address
First Line : 380R MERRIMACK ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-5883
Country : US
Telephone Number : 978-688-1176
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2018
Last Update Date : 04/18/2019

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Directions to “ VAIDEHI SHAH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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