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General NPI Number Information
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NPI Number | 1154203875
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Entity Type | Organization
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Legal Business Name | PEDIATRIC AND ADULT WELLBEING SPEECH THERAPY INC
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 11/09/2025
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Provider Practice Location Address
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Address Line | 2021 VILLAGE WOOD RD
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City | ENCINITAS
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State | CA
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Zip | 92024-4340
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Country | US
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Telephone | 858-224-2415
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 VILLAGE WOOD RD
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City | ENCINITAS
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State | CA
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Zip | 92024-4340
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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 | CEO/SPEECH THERAPIST
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Name | NICOLE OBERMAN
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Credential | MS CCC-SLP
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Telephone | 858-519-6217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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