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General NPI Number Information
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NPI Number | 1669368809
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Entity Type | Individual
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Provider Name | ETHAN ALEXANDER LIMANSKY
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Gender | Male
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 115 SUDBROOK LN
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City | PIKESVILLE
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State | MD
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Zip | 21208-4130
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Country | US
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Telephone | 410-358-1997
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Fax |
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Provider Business Mailing Address
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Address Line | 2574 JUNCO CT
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City | ODENTON
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State | MD
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Zip | 21113-3688
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Country | US
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Telephone | 443-823-9550
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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 |
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License Number State |
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