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NPI 1104292523

NPI 1104292523 : BRITTNEY SIMONE PRINCE M.S., CCC-SLP : OXNARD, CA

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General NPI Number Information
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    NPI Number           |    1104292523
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    Entity Type          |    Individual 
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    Provider Name        |    BRITTNEY SIMONE PRINCE M.S., CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2015
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    Last Update Date     |    01/08/2026
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Provider Practice Location Address
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    Address Line         |    1051 S A ST 
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    City                 |    OXNARD
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    State                |    CA
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    Zip                  |    93030-7442
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    Country              |    US
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    Telephone            |    805-385-1501
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6300 VARIEL AVE 
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    City                 |    WOODLAND HILLS
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    State                |    CA
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    Zip                  |    91367-2569
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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    |    
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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        |    222Q00000X
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    Taxonomy Name        |    Developmental Therapist
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    License Number       |    22008504A
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    License Number State |    IN
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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       |    08319
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    146028779
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    License Number State |    IL
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