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General NPI Number Information
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NPI Number | 1073242236
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Entity Type | Organization
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Legal Business Name | MONUMENTAL EDUCATIONAL AND THERAPETIC SERVICES
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Dates
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Enumeration Date | 06/05/2022
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Last Update Date | 06/05/2022
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Provider Practice Location Address
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Address Line | 6300 VARIEL AVE APT 414
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-7772
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Country | US
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Telephone | 202-702-1882
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Fax |
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Provider Business Mailing Address
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Address Line | 6300 VARIEL AVE APT 414
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-7772
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Country | US
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Telephone | 202-702-1882
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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 | MRS. BRITTNEY PRINCE
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Credential | M.S.,CCC-SLP
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Telephone | 818-308-5670
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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 |
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License Number State |
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