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General NPI Number Information
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NPI Number | 1437707130
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Entity Type | Individual
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Provider Name | JAMIE PIZZA M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 901 TRIMBLE RD
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City | JOPPA
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State | MD
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Zip | 21085-4822
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Country | US
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Telephone | 410-612-1553
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Fax |
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Provider Business Mailing Address
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Address Line | 4040 TABERNACLE RD
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City | WHITEFORD
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State | MD
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Zip | 21160-1502
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Country | US
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Telephone | 443-243-3287
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 09446
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License Number State | MD
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