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General NPI Number Information
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NPI Number | 1225151616
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Entity Type | Organization
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Legal Business Name | DR. MARILYN J. BUZOLICH
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 350 SANTA ANA AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94127-1953
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Country | US
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Telephone | 415-333-7739
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Fax | 415-333-3456
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Provider Business Mailing Address
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Address Line | 350 SANTA ANA AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94127-1953
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Country | US
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Telephone | 415-333-7739
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Fax | 415-333-3456
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Authorized Official
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Title or Position | FOUNDER DIRECTOR AAC SPECIALIST
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Name | DR. MARILYN JEAN BUZOLICH
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Credential | PH.D., CCC SLP
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Telephone | 415-333-7739
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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 | SP3300
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License Number State | CA
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