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General NPI Number Information
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NPI Number | 1194657106
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Entity Type | Individual
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Provider Name | JOY AKEMI IWAMOTO
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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 | 84 E J ST
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City | CHULA VISTA
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State | CA
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Zip | 91910-6115
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Country | US
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Telephone | 619-425-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 17752 SAN LEANDRO LN
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-6640
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Country | US
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Telephone | 714-337-4702
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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 | 40653
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License Number State | CA
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