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General NPI Number Information
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NPI Number | 1376766022
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Entity Type | Organization
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Legal Business Name | ASSOCIATED SPEECH & LANGUAGE SERVICES INC.
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 400 E PRATT ST SUITE 830
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City | BALTIMORE
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State | MD
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Zip | 21202-3116
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Country | US
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Telephone | 443-759-3153
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Fax | 443-759-3001
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Provider Business Mailing Address
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Address Line | 400 E PRATT ST SUITE 830
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City | BALTIMORE
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State | MD
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Zip | 21202-3116
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Country | US
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Telephone | 443-759-3153
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Fax | 443-759-3001
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Authorized Official
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Title or Position | OWNER
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Name | MS. PATRICIA REGINA OURAND
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Credential | MS, CCC-SLP
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Telephone | 443-759-3153
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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 | 01134
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License Number State | MD
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