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General NPI Number Information
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NPI Number | 1235670423
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Entity Type | Organization
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Legal Business Name | 3L THERAPY SOLUTIONS, LLC
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 10482 BALTIMORE AVE #129
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City | BELTSVILLE
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State | MD
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Zip | 20705-2321
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Country | US
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Telephone | 240-391-8438
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Fax |
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Provider Business Mailing Address
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Address Line | 10482 BALTIMORE AVE #129
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City | BELTSVILLE
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State | MD
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Zip | 20705-2321
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Country | US
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Telephone | 240-391-8438
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. KEENA SEWARD
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Credential | AU.D., CCC-A/SLP
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Telephone | 240-391-8438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 01396
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 08344
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License Number State | MD
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