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NPI Code Detail

MEDICARE: DEVIN MOORE SHIPLE

MEDICARE: DEVIN MOORE SHIPLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2204001498VA

General Provider Information

NPI Number : 1457178873
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVIN MOORE SHIPLE
Provider Business Mailing Address
First Line : 1637 21ST RD N APT 10
Second Line :
City : ARLINGTON
State : VA
Zip : 22209-1153
Country : US
Telephone Number : 703-338-2023
Fax Number :
Provider Business Practice Location Address
First Line : 1768 BUSINESS CENTER DR STE 330
Second Line :
City : RESTON
State : VA
Zip : 20190-4882
Country : US
Telephone Number : 703-679-7837
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2024
Last Update Date : 09/25/2024

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Directions to “ DEVIN MOORE SHIPLE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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