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NPI 1255217501

NPI 1255217501 : EMILY DORN M.S., CF-SLP : JESSUP, MD

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General NPI Number Information
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    NPI Number           |    1255217501
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY DORN M.S., CF-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/13/2025
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    Last Update Date     |    08/13/2025
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Provider Practice Location Address
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    Address Line         |    8500 RIDGELYS RUN RD 
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    City                 |    JESSUP
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    State                |    MD
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    Zip                  |    20794-9823
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    Country              |    US
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    Telephone            |    410-313-7430
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8651 WATER FALL DR 
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    City                 |    LAUREL
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    State                |    MD
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    Zip                  |    20723-2044
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    Country              |    US
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    Telephone            |    
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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       |    03168L
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    License Number State |    MD
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