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General NPI Number Information
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NPI Number | 1477049047
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Entity Type | Organization
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Legal Business Name | COMMUNICATION CONNECTIONS INC
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Dates
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Enumeration Date | 07/07/2018
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Last Update Date | 07/07/2018
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Provider Practice Location Address
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Address Line | 8221 RITCHIE HWY STE 105
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City | PASADENA
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State | MD
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Zip | 21122-3939
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Country | US
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Telephone | 443-848-6589
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1295
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City | SEVERNA PARK
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State | MD
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Zip | 21146-8295
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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 | SPEECH LANGUAGE PATHOLOGIST/OWNER
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Name | RHONDA MACKMER
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Credential | M.S. CCC-SLP
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Telephone | 443-848-6589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 06798
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License Number State | MD
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