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General NPI Number Information
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NPI Number | 1861895997
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Entity Type | Individual
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Provider Name | MARIA JOSEFINA FERNANDEZ M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/03/2014
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Last Update Date | 10/03/2014
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Provider Practice Location Address
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Address Line | 1600 ARLINGTON AVE
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City | BALTIMORE
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State | MD
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Zip | 21239-4007
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Country | US
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Telephone | 410-396-7463
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Fax |
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Provider Business Mailing Address
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Address Line | 750 AZALEA DR
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City | ROCKVILLE
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State | MD
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Zip | 20850-2015
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Country | US
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Telephone | 301-785-6563
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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 | 07577
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License Number State | MD
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