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General NPI Number Information
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NPI Number | 1275233686
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW SPEECH THERAPY CORPORATION
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 1681 LOVERS LN
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-9751
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Country | US
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Telephone | 916-234-6692
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Fax |
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Provider Business Mailing Address
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Address Line | 1681 LOVERS LN
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-9751
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Country | US
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Telephone | 916-234-6692
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HEATHER DUNHAM
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Credential | M.S., CCC-SLP
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Telephone | 916-234-6692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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