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General NPI Number Information
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NPI Number | 1235953431
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Entity Type | Individual
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Provider Name | SARAH CHRISTINE GUDE
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Gender | Female
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 900 LONDON BLVD
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City | PORTSMOUTH
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State | VA
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Zip | 23704-2236
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Country | US
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Telephone | 757-393-6864
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 BROOK MEADOW DR
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City | TOWSON
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State | MD
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Zip | 21286-1751
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Country | US
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Telephone | 410-952-5188
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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 | 11062
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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 | 30003223
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202011697
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License Number State | VA
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