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NPI 1104702380

NPI 1104702380 : AWE BILINGUAL THERAPY LLC : FREMONT, CA

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General NPI Number Information
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    NPI Number           |    1104702380
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    Entity Type          |    Organization 
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    Legal Business Name  |    AWE BILINGUAL THERAPY LLC 
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Dates
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    Enumeration Date     |    08/13/2025
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    Last Update Date     |    08/13/2025
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Provider Practice Location Address
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    Address Line         |    39455 ALBANY CMN APT P 
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    City                 |    FREMONT
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    State                |    CA
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    Zip                  |    94538-4700
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    Country              |    US
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    Telephone            |    615-482-0073
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    39120 ARGONAUT WAY # 725 
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    City                 |    FREMONT
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    State                |    CA
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    Zip                  |    94538-1304
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    Country              |    US
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    Telephone            |    615-482-0073
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FOUNDER, BCBA
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    Name                 |     JIA  QIU 
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    Credential           |    
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    Telephone            |    615-482-0073
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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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Taxonomy #2
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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