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NPI Code Detail

MEDICARE: ERIN RICE BROACH

MEDICARE: ERIN RICE BROACH
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 Pathologist1903202NC

General Provider Information

NPI Number : 1861971889
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN RICE BROACH
Provider Business Mailing Address
First Line : 412 DARTMOUTH RD
Second Line :
City : RALEIGH
State : NC
Zip : 27609-5850
Country : US
Telephone Number : 828-779-7074
Fax Number :
Provider Business Practice Location Address
First Line : 154 E MAIN ST
Second Line :
City : CLARKSBURG
State : WV
Zip : 26301-2160
Country : US
Telephone Number : 304-933-3073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2018
Last Update Date : 10/06/2023

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Directions to “ ERIN RICE BROACH ” 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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