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General NPI Number Information
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NPI Number | 1023727765
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Entity Type | Individual
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Provider Name | SHAILJA PUROHIT
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Gender | Female
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Dates
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Enumeration Date | 11/22/2022
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 12411 SLAUSON AVE STE H
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City | WHITTIER
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State | CA
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Zip | 90606-2835
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Country | US
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Telephone | 562-683-5449
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Fax |
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Provider Business Mailing Address
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Address Line | 3518 DUNN DR APT 201
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City | LOS ANGELES
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State | CA
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Zip | 90034-4996
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Country | US
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Telephone | 424-258-0383
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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 | 13788
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License Number State | CA
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