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General NPI Number Information
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NPI Number | 1114573789
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Entity Type | Organization
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Legal Business Name | ED SPED SOLUTIONS, INC.
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Dates
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Enumeration Date | 08/09/2019
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | 39159 PASEO PADRE PKWY STE 205
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City | FREMONT
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State | CA
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Zip | 94538-1623
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Country | US
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Telephone | 408-372-8280
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Fax | 408-608-2203
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Provider Business Mailing Address
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Address Line | 39159 PASEO PADRE PKWY STE 205
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City | FREMONT
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State | CA
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Zip | 94538-1623
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Country | US
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Telephone | 408-372-8280
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Fax | 408-608-2203
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Authorized Official
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Title or Position | BUSINESS DIRECTOR
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Name | NADIA RAMIREZ
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Credential |
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Telephone | 408-372-8280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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