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General NPI Number Information
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NPI Number | 1063032431
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Entity Type | Individual
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Provider Name | CAROLINE ROSE GERLACH CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/25/2020
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Last Update Date | 04/25/2020
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Provider Practice Location Address
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Address Line | 115 SUDBROOK LN
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City | PIKESVILLE
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State | MD
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Zip | 21208-4130
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Country | US
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Telephone | 410-358-1997
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Fax |
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Provider Business Mailing Address
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Address Line | 56 W GAY ST APT 205
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City | HARRISONBURG
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State | VA
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Zip | 22802-3952
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Country | US
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Telephone | 717-521-9858
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2204000452
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License Number State | VA
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