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General NPI Number Information
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NPI Number | 1033633938
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Entity Type | Organization
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Legal Business Name | MELANIE DELACRUZ
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 08/01/2017
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Provider Practice Location Address
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Address Line | 1259 AYALA DR
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City | SUNNYVALE
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State | CA
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Zip | 94086-5518
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Country | US
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Telephone | 408-544-0310
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Fax | 408-544-0310
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Provider Business Mailing Address
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Address Line | 1259 AYALA DR APT 4
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City | SUNNYVALE
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State | CA
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Zip | 94086-5587
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Country | US
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Telephone | 14085440310
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MELANIE SALIDO DELACRUZ
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Credential | MA, CCC-SLP
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Telephone | 408-544-0310
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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 | 19478
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License Number State | CA
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