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NPI Code Detail

MEDICARE: CLAIRE DRAKE

MEDICARE:   CLAIRE  DRAKE
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 Pathologist2557MD

General Provider Information

NPI Number : 1588856264
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE DRAKE
Provider Business Mailing Address
First Line : 56 W FREDERICK ST
Second Line :
City : WALKERSVILLE
State : MD
Zip : 21793-8254
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 56 W FREDERICK ST
Second Line :
City : WALKERSVILLE
State : MD
Zip : 21793-8254
Country : US
Telephone Number : 301-898-4320
Fax Number : 301-898-4343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2007
Last Update Date : 08/15/2007

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Directions to “ CLAIRE DRAKE ” Practice Location

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