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General NPI Number Information
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NPI Number | 1053118091
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Entity Type | Individual
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Provider Name | AYA U. KHALIL SLP
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Gender | Female
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 8030 LA MESA BLVD # 416
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City | LA MESA
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State | CA
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Zip | 91942-0335
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Country | US
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Telephone | 619-567-9448
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Fax | 619-722-4213
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Provider Business Mailing Address
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Address Line | 8030 LA MESA BLVD # 416
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City | LA MESA
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State | CA
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Zip | 91942-0335
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Country | US
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Telephone | 619-567-9448
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Fax | 619-722-4213
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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 | 32925
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License Number State | CA
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