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General NPI Number Information
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NPI Number | 1053599373
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Entity Type | Organization
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Legal Business Name | SOCIAL COMMUNICATION SPECIALISTS SPEECH THERAPY CLINIC, APC
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 2538 CATAMARAN WAY
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City | CHULA VISTA
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State | CA
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Zip | 91914-4532
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Country | US
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Telephone | 619-591-9552
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Fax |
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Provider Business Mailing Address
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Address Line | 2538 CATAMARAN WAY
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City | CHULA VISTA
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State | CA
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Zip | 91914-4532
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Country | US
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Telephone | 619-591-9552
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JULI VAZQUEZ
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Credential | M.ED., CCC-SLP
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Telephone | 619-591-9552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 14460
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License Number State | CA
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