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General NPI Number Information
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NPI Number | 1659910206
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Entity Type | Organization
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Legal Business Name | HIGHLIGHTS SPEECH THERAPY, INC.
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Dates
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Enumeration Date | 12/31/2019
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 3800 N CHARLES ST
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City | BALTIMORE
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State | MD
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Zip | 21218-1805
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Country | US
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Telephone | 443-579-4757
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Fax | 443-331-5753
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Provider Business Mailing Address
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Address Line | PO BOX 43893
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City | NOTTINGHAM
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State | MD
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Zip | 21236-0893
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Country | US
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Telephone | 443-579-4757
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST/OWNER
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Name | MRS. CARMEN TUCKER-RICHARDSON
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Credential | M.A., CCC-SLP
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Telephone | 443-579-5757
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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 |
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License Number State |
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