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Individual
MICHAEL M CONDIT
Active
Individual
MICHAEL M CONDIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.13928
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406425
—
OH
01
—
AB7360731
MEDICARE PIN
OH
Enumeration date
07/11/2019
Last updated
08/21/2024
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