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General NPI Number Information
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NPI Number | 1881249555
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Entity Type | Individual
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Provider Name | LAYLA WHITE
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Gender | Female
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Dates
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Enumeration Date | 08/08/2019
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Last Update Date | 08/08/2019
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Provider Practice Location Address
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Address Line | 800 S CATON AVE
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City | BALTIMORE
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State | MD
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Zip | 21229-4210
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Country | US
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Telephone | 410-696-3301
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Fax | 443-279-2976
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Provider Business Mailing Address
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Address Line | 800 S CATON AVE
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City | BALTIMORE
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State | MD
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Zip | 21229-4210
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Country | US
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Telephone | 410-696-3301
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Fax | 443-279-2976
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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 | W300488630320
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License Number State | MD
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