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General NPI Number Information
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NPI Number | 1134918352
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Entity Type | Organization
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Legal Business Name | MYOSPEAKS LLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 1253 DARWIN ST
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City | SEASIDE
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State | CA
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Zip | 93955-5601
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Country | US
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Telephone | 907-687-0286
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Fax |
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Provider Business Mailing Address
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Address Line | 1219 FOREST AVE STE G
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City | PACIFIC GROVE
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State | CA
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Zip | 93950-5136
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Country | US
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Telephone | 907-687-0286
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Fax |
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Authorized Official
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Title or Position | RDH, OMT
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Name | MRS. DANA DELVALLE
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Credential |
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Telephone | 907-687-0286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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