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General NPI Number Information
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NPI Number | 1053711838
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Entity Type | Organization
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Legal Business Name | TEAMWORK SPEECH THERAPY INC
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 1811 SANTA RITA RD STE 112
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City | PLEASANTON
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State | CA
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Zip | 94566-4741
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Country | US
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Telephone | 925-470-6948
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Fax |
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Provider Business Mailing Address
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Address Line | 311 RAY ST
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City | PLEASANTON
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State | CA
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Zip | 94566-6621
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Country | US
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Telephone | 925-399-5796
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Fax | 925-249-5121
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Authorized Official
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Title or Position | OWNER / SLPA
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Name | SANDHYA PADMANABHAN
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Credential |
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Telephone | 925-478-6217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | SP 13296
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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