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General NPI Number Information
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NPI Number | 1043465438
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Entity Type | Individual
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Provider Name | BELLA PANCHAL AUD M.SC.CCC-A/SLP
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Gender | Female
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Dates
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Enumeration Date | 11/26/2008
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1197 N ARBOR ST
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City | ANAHEIM
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State | CA
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Zip | 92801-2021
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Country | US
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Telephone | 714-956-5575
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3774
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City | FULLERTON
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State | CA
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Zip | 92834-3774
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Country | US
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Telephone | 714-956-5575
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Fax | 714-956-5575
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU1424
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP8464
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License Number State | CA
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