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General NPI Number Information
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NPI Number | 1164787800
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Entity Type | Organization
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Legal Business Name | ROCKETSHIP EDUCATION
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 07/09/2012
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Provider Practice Location Address
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Address Line | 331 S 34TH ST
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City | SAN JOSE
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State | CA
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Zip | 95116-2905
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Country | US
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Telephone | 877-806-0920
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Fax |
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Provider Business Mailing Address
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Address Line | 420 FLORENCE ST STE. 300
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City | PALO ALTO
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State | CA
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Zip | 94301-1741
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Country | US
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Telephone | 877-806-0920
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | CHICHI CHIDI
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Credential | MA.,CCC-SLP
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Telephone | 408-338-7634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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