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General NPI Number Information
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NPI Number | 1306082078
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Entity Type | Organization
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Legal Business Name | CSTC THERAPIES INC.
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Dates
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Enumeration Date | 12/30/2008
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 44081PIPELINE PLAZA SUITE 120
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City | ASHBURN
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State | VA
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Zip | 20147
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Country | US
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Telephone | 703-723-7270
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Fax | 703-740-8758
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Provider Business Mailing Address
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Address Line | 44081 PIPELINE PLAZA SUITE 120
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City | ASHBURN
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State | VA
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Zip | 20147
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Country | US
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Telephone | 703-723-7270
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Fax | 703-740-8758
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | ALICIA MCFADDEN
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Credential | MA, CCCSLP, BCS-CL
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Telephone | 703-723-7270
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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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