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General NPI Number Information
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NPI Number | 1124322805
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Entity Type | Individual
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Provider Name | CLAIRE PEREZ
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Gender | Female
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1000 S FREMONT AVE UNIT 27, SUITE 10100
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City | ALHAMBRA
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State | CA
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Zip | 91803-8800
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Country | US
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Telephone | 323-622-0746
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Fax |
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Provider Business Mailing Address
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Address Line | 7525 MARMANDE PL
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-6752
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 3462-154
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License Number State | WI
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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 | SP19363
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License Number State | CA
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