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General NPI Number Information
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NPI Number | 1710190921
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Entity Type | Individual
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Provider Name | ANN ELIZABETH GULYAS CCC-SLP BCS-S
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 04/13/2018
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Provider Practice Location Address
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Address Line | 115 EAST MELROSE
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City | BALTIMORE
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State | MD
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Zip | 21212
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Country | US
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Telephone | 410-435-9073
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Fax |
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Provider Business Mailing Address
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Address Line | 115 EAST MELROSE
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City | BALTIMORE
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State | MD
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Zip | 21212
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Country | US
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Telephone | 410-435-9073
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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 | 41YS00366900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 02019
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License Number State | MD
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