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General NPI Number Information
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NPI Number | 1215896592
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Entity Type | Organization
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Legal Business Name | CLARKE SPEECH THERAPY, LLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | R2 1912 LIBERTY ROAD BUILDING 3, SUITE 28
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City | SYKESVILLE
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State | MD
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Zip | 21784-6602
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Country | US
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Telephone | 443-452-7524
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Fax | 443-281-9025
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Provider Business Mailing Address
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Address Line | 1814 FALLSTAFF CT
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City | ELDERSBURG
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State | MD
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Zip | 21784-6274
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Country | US
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Telephone | 443-452-7524
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Fax | 443-281-9025
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Authorized Official
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Title or Position | SPEECH THERAPIST
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Name | NICOLE CLARKE
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Credential |
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Telephone | 443-452-7524
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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 |
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License Number State |
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