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General NPI Number Information
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NPI Number | 1831874460
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Entity Type | Organization
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Legal Business Name | ACES SPEECH THERAPY LLC
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 1912 LIBERTY RD SPC 24
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City | ELDERSBURG
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State | MD
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Zip | 21784-6693
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Country | US
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Telephone | 410-790-3526
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Fax |
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Provider Business Mailing Address
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Address Line | 5408 FANTAIL DR
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City | ELDERSBURG
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State | MD
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Zip | 21784-8934
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Country | US
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Telephone | 410-790-3526
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. HEIDI D ANDERSON
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Credential | MS, CCC/SLP
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Telephone | 410-790-3526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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