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General NPI Number Information
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NPI Number | 1871703579
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Entity Type | Individual
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Provider Name | MARISOL BERRIOS-BAEZ MS, C.C.C. SLP
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1502 SPRUCE AVE
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City | WILMINGTON
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State | DE
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Zip | 19805-2148
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Country | US
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Telephone | 302-552-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 293 MINGO WAY
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City | TOWNSEND
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State | DE
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Zip | 19734-9439
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Country | US
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Telephone | 302-373-4346
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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 | O1-0001444
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License Number State | DE
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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 | 543
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License Number State | PR
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