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General NPI Number Information
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NPI Number | 1245055110
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Entity Type | Organization
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Legal Business Name | NALEE SPEECH CLINIC INC
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 16903 S DALTON AVE APT 2
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City | GARDENA
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State | CA
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Zip | 90247-5436
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Country | US
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Telephone | 213-290-5756
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Fax |
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Provider Business Mailing Address
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Address Line | 2768 SEPULVEDA BLVD # 416
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City | TORRANCE
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State | CA
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Zip | 90505-2952
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Country | US
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Telephone | 213-290-5756
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUDY KWAK
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Credential |
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Telephone | 213-290-5756
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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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