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NPI 1033121454

NPI 1033121454 : DAVID H SLAY MA COMS CLVT : SEPULVEDA, CA

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General NPI Number Information
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    NPI Number           |    1033121454
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID H SLAY MA COMS CLVT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/13/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    16111 PLUMMER STREET 
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    City                 |    SEPULVEDA
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    State                |    CA
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    Zip                  |    91343
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    Country              |    US
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    Telephone            |    818-891-7711
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    25935 STAFFORD CANYON ROAD E
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    City                 |    STEVENSON RANCH
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    State                |    CA
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    Zip                  |    91381
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    Country              |    US
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    Telephone            |    661-254-6389
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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        |    2255R0406X
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    Taxonomy Name        |    Blind Rehabilitation Specialist/Technologist
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    License Number       |    3336
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    2255R0406X
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    Taxonomy Name        |    Blind Rehabilitation Specialist/Technologist
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    License Number       |    1411
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    License Number State |    CA
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