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General NPI Number Information
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NPI Number | 1326510967
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Entity Type | Organization
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Legal Business Name | SALISBURY SPEECH THERAPY, LLC
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Dates
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Enumeration Date | 12/20/2018
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Last Update Date | 05/28/2021
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Provider Practice Location Address
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Address Line | 1502D PEMBERTON DR
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City | SALISBURY
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State | MD
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Zip | 21801-2475
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Country | US
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Telephone | 410-572-4351
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Fax | 443-978-8975
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Provider Business Mailing Address
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Address Line | 1502D PEMBERTON DR
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City | SALISBURY
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State | MD
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Zip | 21801-2475
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Country | US
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Telephone | 410-572-4351
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Fax | 443-978-8975
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Authorized Official
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Title or Position | OWNER, PRIMARY SPEECH-LANGUAGE PATH
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Name | SOMMER L ASAY
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Credential | MS, CCC-SLP
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Telephone | 410-251-8146
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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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