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General NPI Number Information
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NPI Number | 1750241402
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Entity Type | Individual
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Provider Name | MICHAEL RAYMOND FIELDS JR. M.A. CF-SLP
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Gender | Male
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 25500 POINT LOOKOUT RD
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City | LEONARDTOWN
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State | MD
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Zip | 20650-2015
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Country | US
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Telephone | 301-475-8981
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 ARLINGTON BLVD APT 814
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City | ARLINGTON
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State | VA
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Zip | 22209-2234
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Country | US
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Telephone | 407-989-8098
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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 | 03152L
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License Number State | MD
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