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General NPI Number Information
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NPI Number | 1598377848
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Entity Type | Individual
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Provider Name | KEILETTIA MICHELLE MCCASKILL M.S.,CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 5702 SARGENT RD
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City | CHILLUM
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State | MD
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Zip | 20782-2321
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Country | US
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Telephone | 301-853-7370
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Fax |
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Provider Business Mailing Address
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Address Line | 6221 GREEN FIELD RD APT 203
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City | ELKRIDGE
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State | MD
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Zip | 21075-6292
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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 | SLP200001586
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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