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General NPI Number Information
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NPI Number | 1306488630
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Entity Type | Organization
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Legal Business Name | NATIONAL SPEECH LANGUAGE THERAPY CENTER
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 412 1ST ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-1804
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Country | US
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Telephone | 202-470-4185
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Fax | 833-803-2521
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Provider Business Mailing Address
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Address Line | 5606 SHIELDS DR
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City | BETHESDA
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State | MD
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Zip | 20817-3571
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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 | CHIEF OPERATING OFFICER
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Name | JEANNE ELLINPORT
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Credential |
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Telephone | 301-799-3304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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