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General NPI Number Information
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NPI Number | 1225365885
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Entity Type | Individual
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Provider Name | DAWN M MORIARTY M.ED. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 27182 GALVEZ LN
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6218
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Country | US
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Telephone | 770-401-6210
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Fax |
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Provider Business Mailing Address
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Address Line | 27182 GALVEZ LN
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6218
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Country | US
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Telephone | 770-401-6210
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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 | 24523
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP004087
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License Number State | GA
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