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General NPI Number Information
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NPI Number | 1184556110
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Entity Type | Individual
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Provider Name | SUSHMA REMIDALA
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Gender | Female
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 7810 ARROYO CIR
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City | GILROY
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State | CA
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Zip | 95020-7309
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Country | US
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Telephone | 669-205-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 6441 LAGUNA SECA LN
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City | GILROY
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State | CA
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Zip | 95020-5946
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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 | SP26700
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License Number State | CA
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