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General NPI Number Information
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NPI Number | 1609766872
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Entity Type | Individual
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Provider Name | JULIE ANN DIBLASIO MA CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 5601 LOCH RAVEN BLVD
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City | BALTIMORE
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State | MD
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Zip | 21239-2950
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Country | US
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Telephone | 443-444-3930
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Fax | 443-444-4234
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Provider Business Mailing Address
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Address Line | 3262 SPLIT OAK CT
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City | ABINGDON
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State | MD
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Zip | 21009-2604
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Country | US
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Telephone | 443-444-3930
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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 | 04020
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License Number State | MD
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