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General NPI Number Information
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NPI Number | 1104353671
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Entity Type | Organization
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Legal Business Name | INTEGRITY SPEECH THERAPY
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Dates
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Enumeration Date | 05/16/2017
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Last Update Date | 10/17/2019
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Provider Practice Location Address
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Address Line | 10632 LITTLE PATUXENT PKWY STE 306
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City | COLUMBIA
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State | MD
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Zip | 21044-6253
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Country | US
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Telephone | 301-337-7893
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Fax | 855-754-8261
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Provider Business Mailing Address
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Address Line | 10632 LITTLE PATUXENT PKWY STE 306
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City | COLUMBIA
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State | MD
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Zip | 21044-6253
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Country | US
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Telephone | 443-745-9567
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH PATHOLOGIST
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Name | MRS. FAITH C. MONAH
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Credential | M.S., CCC-SLP
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Telephone | 301-337-7893
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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 | 06725
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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