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General NPI Number Information
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NPI Number | 1578819306
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Entity Type | Organization
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Legal Business Name | INTEGRATED THERAPY SERVICES
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 07/30/2012
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Provider Practice Location Address
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Address Line | 10605 CONCORD ST SUITE 102
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City | KENSINGTON
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State | MD
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Zip | 20895-2504
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Country | US
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Telephone | 301-933-7880
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Fax |
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Provider Business Mailing Address
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Address Line | 10605 CONCORD ST SUITE 102
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City | KENSINGTON
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State | MD
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Zip | 20895-2504
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Country | US
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Telephone | 301-933-7880
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ANNE REYNOLDS
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Credential | CCSLP
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Telephone | 301-933-7880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA3000X
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Taxonomy Name | Augmentative Communication Clinic/Center
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License Number | 01497
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | 01497
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 01497
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License Number State | MD
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