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General NPI Number Information
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NPI Number | 1275103889
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Entity Type | Organization
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Legal Business Name | ITS SPEECH TIME THERAPY SERVICES
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Dates
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Enumeration Date | 06/26/2021
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Last Update Date | 06/26/2021
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Provider Practice Location Address
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Address Line | 2401 HAMDEN CT
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City | CROFTON
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State | MD
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Zip | 21114-3205
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Country | US
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Telephone | 301-717-6030
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 HAMDEN CT
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City | CROFTON
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State | MD
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Zip | 21114-3205
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Country | US
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Telephone | 301-717-6030
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MS. TASHA MONIQUE LABBE
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Credential | MS,CCC-SLP
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Telephone | 301-717-6030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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