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General NPI Number Information
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NPI Number | 1144152950
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Entity Type | Individual
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Provider Name | KRISTI MATSUOKA
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Gender | Female
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 9225 CALLE DEL REY
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City | GILROY
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State | CA
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Zip | 95020-7733
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Country | US
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Telephone | 669-205-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 220 FOX HOLLOW CIR
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City | MORGAN HILL
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State | CA
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Zip | 95037-3054
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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 | 30438
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License Number State | CA
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