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General NPI Number Information
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NPI Number | 1578796645
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Entity Type | Individual
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Provider Name | SHIPRA WAHI MS
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Gender | Female
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Dates
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Enumeration Date | 08/24/2009
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 3000 MCCOMAS AVE
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City | KENSINGTON
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State | MD
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Zip | 20895-2316
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Country | US
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Telephone | 301-933-0060
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Fax | 301-929-6335
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Provider Business Mailing Address
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Address Line | 16500 HARBOUR TOWN DR
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City | SILVER SPRING
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State | MD
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Zip | 20905-4092
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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 |
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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 | 05015
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License Number State | MD
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