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General NPI Number Information
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NPI Number | 1790109056
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Entity Type | Organization
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Legal Business Name | SIMPLY SPEAKING THERAPY SERVICES
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Dates
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Enumeration Date | 02/06/2014
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Last Update Date | 02/06/2014
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Provider Practice Location Address
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Address Line | 1055 TAYLOR AVE SUITE 210
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City | BALTIMORE
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State | MD
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Zip | 21286-8317
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Country | US
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Telephone | 443-630-3155
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Fax |
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Provider Business Mailing Address
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Address Line | 957 N HILL RD
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City | BALTIMORE
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State | MD
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Zip | 21218-1342
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YAMINAH ALI
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Credential | CCC-SLP
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Telephone | 443-630-3155
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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 | 05733
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License Number State | MD
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