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General NPI Number Information
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NPI Number | 1215738851
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Entity Type | Individual
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Provider Name | NATALIE MALIA HOLT MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 3900 BIRCH ST
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2209
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Country | US
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Telephone | 949-955-0010
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Fax |
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Provider Business Mailing Address
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Address Line | 2171 PAVILLION DR
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City | SANTA ANA
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State | CA
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Zip | 92705-3340
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Country | US
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Telephone | 714-616-7330
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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 | 35771
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License Number State | CA
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