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General NPI Number Information
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NPI Number | 1619855988
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Entity Type | Individual
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Provider Name | MIA MARGARET JAYES
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Gender | Female
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 6354 WALKER LN STE 250
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City | ALEXANDRIA
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State | VA
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Zip | 22310-3229
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Country | US
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Telephone | 703-971-0602
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Fax | 949-863-6813
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Provider Business Mailing Address
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Address Line | 401 HOLLAND LN APT 609
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City | ALEXANDRIA
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State | VA
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Zip | 22314-3435
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Country | US
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Telephone | 847-910-0272
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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 | 2204001663
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License Number State | VA
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