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General NPI Number Information
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NPI Number | 1194657973
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Entity Type | Individual
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Provider Name | HOLLY DANIELLE CULLEN M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 1100 MURRAY DR
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City | EL CAJON
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State | CA
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Zip | 92020-5664
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Country | US
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Telephone | 619-660-3187
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Fax |
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Provider Business Mailing Address
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Address Line | 2557 COLUMBINE DR
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City | ALPINE
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State | CA
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Zip | 91901-1305
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Country | US
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Telephone | 760-522-6250
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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 | 32214
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License Number State | CA
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