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General NPI Number Information
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NPI Number | 1194634121
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Entity Type | Organization
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Legal Business Name | LIDDICOAT LANGUAGE & LITERACY SERVICES
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 447 RIVER MEADOWS DR
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City | WOODBRIDGE
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State | CA
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Zip | 95258-9312
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Country | US
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Telephone | 209-712-7275
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 312
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City | WOODBRIDGE
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State | CA
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Zip | 95258-0312
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Country | US
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Telephone | 209-712-7275
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Fax |
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Authorized Official
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Title or Position | SPEECH AND LANGUAGE PATHOLOGIST
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Name | LORI LIDDICOAT
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Credential | MS, CCC, SLP
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Telephone | 209-712-7275
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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 |
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License Number State |
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