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General NPI Number Information
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NPI Number | 1144609439
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Entity Type | Individual
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Provider Name | VIVIAN THUY PEDERSON MA, CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 16782 VON KARMAN AVE STE 11
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City | IRVINE
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State | CA
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Zip | 92606-2417
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Country | US
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Telephone | 949-560-1098
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Fax |
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Provider Business Mailing Address
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Address Line | 4701 GARDEN PL
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City | YORBA LINDA
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State | CA
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Zip | 92886-3406
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Country | US
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Telephone | 714-390-8092
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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 | RPE9733
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License Number State | CA
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