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General NPI Number Information
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NPI Number | 1023242260
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Entity Type | Organization
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Legal Business Name | LEARNING TO SUCCEED SPEECH CLINICS, INC.
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Dates
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Enumeration Date | 05/01/2009
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Last Update Date | 06/28/2016
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Provider Practice Location Address
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Address Line | 1101 S WINCHESTER BLVD SUITE F168
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City | SAN JOSE
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State | CA
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Zip | 95128-3901
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Country | US
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Telephone | 408-249-0770
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Fax | 408-834-7767
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Provider Business Mailing Address
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Address Line | PO BOX 26127
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City | SAN JOSE
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State | CA
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Zip | 95159-6127
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Country | US
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Telephone | 408-249-0770
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Fax | 408-834-7767
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MELANIE E MEYER
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Credential | CCC/SLP
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Telephone | 408-249-0770
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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 | 15101
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License Number State | CA
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