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NPI Code Detail

MEDICARE: MARY LARKIN RUMBARGER

MEDICARE:   MARY LARKIN RUMBARGER
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 Pathologist

General Provider Information

NPI Number : 1841773744
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY LARKIN RUMBARGER
Provider Business Mailing Address
First Line : 3180 PROFESSIONAL PLZ STE 101
Second Line :
City : GERMANTOWN
State : TN
Zip : 38138-1534
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3180 PROFESSIONAL PLZ STE 101
Second Line :
City : GERMANTOWN
State : TN
Zip : 38138-1534
Country : US
Telephone Number : 901-328-2110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2018
Last Update Date : 09/07/2018

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Directions to “ MARY LARKIN RUMBARGER ” Practice Location

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