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General NPI Number Information
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NPI Number | 1093588022
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Entity Type | Individual
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Provider Name | STEPHANIE MORFESSIS CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 1919 N BROADWAY
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City | BALTIMORE
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State | MD
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Zip | 21213-1432
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Country | US
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Telephone | 443-884-4745
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Fax |
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Provider Business Mailing Address
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Address Line | 1924 JORDANS RETREAT RD
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City | NEW WINDSOR
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State | MD
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Zip | 21776-8520
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Country | US
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Telephone | 301-919-4247
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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 | 02818L
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License Number State | MD
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