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General NPI Number Information
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NPI Number | 1225492820
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Entity Type | Organization
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Legal Business Name | SPEACHY LEARNING CENTER
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Dates
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Enumeration Date | 04/09/2016
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Last Update Date | 06/13/2019
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Provider Practice Location Address
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Address Line | 1164 CHESTNUT STREET
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City | MENLO PARK
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State | CA
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Zip | 94025
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Country | US
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Telephone | 844-773-2249
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 636
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City | MENLO PARK
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State | CA
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Zip | 94026
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Country | US
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Telephone | 844-773-2249
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Fax |
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Authorized Official
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Title or Position | OWNER, CEO
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Name | MRS. MAYRA L CRAMER
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Credential | CCC-SLP
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Telephone | 844-773-2249
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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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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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