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General NPI Number Information
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NPI Number | 1205706223
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Entity Type | Organization
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Legal Business Name | LA SPEECH AND SWALLOW, INC
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 5304 MERIDIAN ST
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City | LOS ANGELES
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State | CA
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Zip | 90042-1842
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Country | US
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Telephone | 213-422-9206
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Fax |
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Provider Business Mailing Address
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Address Line | 5304 MERIDIAN ST
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City | LOS ANGELES
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State | CA
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Zip | 90042-1842
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Country | US
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Telephone | 213-422-9206
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Fax |
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Authorized Official
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Title or Position | CEO/SPEECH PATHOLOGIST
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Name | KAYLA TATIANA MALDONADO
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Credential | MS, CCC-SLP, CLEC
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Telephone | 213-422-9206
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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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