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General NPI Number Information
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NPI Number | 1669140547
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Entity Type | Organization
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Legal Business Name | WESTERN MARYLAND SPEECH AND SWALLOWING THERAPY
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Dates
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Enumeration Date | 09/03/2021
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 13141 GARRETT HWY
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City | OAKLAND
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State | MD
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Zip | 21550-1164
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Country | US
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Telephone | 240-321-9191
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Fax |
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Provider Business Mailing Address
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Address Line | 13141 GARRETT HWY
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City | OAKLAND
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State | MD
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Zip | 21550-1164
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Country | US
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Telephone | 240-321-9191
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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 | TAYLOR LYNN MCDONALD
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Credential | M.S. CCC-SLP
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Telephone | 240-321-9191
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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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