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NPI 1104782135

NPI 1104782135 : MS. JULIE LARKIN : HAVRE DE GRACE, MD

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General NPI Number Information
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    NPI Number           |    1104782135
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    Entity Type          |    Individual 
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    Provider Name        |    MS. JULIE LARKIN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/03/2026
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    Last Update Date     |    01/03/2026
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Provider Practice Location Address
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    Address Line         |    1501 BLENHIEM FARM LN 
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    City                 |    HAVRE DE GRACE
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    State                |    MD
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    Zip                  |    21078-2047
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    Country              |    US
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    Telephone            |    410-939-9300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3219 PEVERLY RUN RD 
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    City                 |    ABINGDON
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    State                |    MD
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    Zip                  |    21009-2753
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    Country              |    US
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    Telephone            |    410-810-4404
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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       |    11805
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    License Number State |    MD
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