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NPI 1104353671

NPI 1104353671 : INTEGRITY SPEECH THERAPY : COLUMBIA, MD

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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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