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General NPI Number Information
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NPI Number | 1942088422
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Entity Type | Individual
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Provider Name | MARYKATE WEIR
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Gender | Female
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 103 N PLAIN RD
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6760
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Country | US
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Telephone | 910-298-2331
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Fax |
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Provider Business Mailing Address
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Address Line | 364 FRISCO WAY
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City | HOLLY RIDGE
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State | NC
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Zip | 28445-4202
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Country | US
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Telephone | 845-476-1669
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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 |
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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 | 034882
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 30003604
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License Number State | NC
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