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General NPI Number Information
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NPI Number | 1275288003
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Entity Type | Organization
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Legal Business Name | CONNECTIONS SPEECH THERAPY
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Dates
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Enumeration Date | 02/21/2022
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Last Update Date | 02/21/2022
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Provider Practice Location Address
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Address Line | 13460 SAGEWOOD DRIVE
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City | POWAY
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State | CA
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Zip | 92064
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Country | US
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Telephone | 618-218-7609
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Fax |
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Provider Business Mailing Address
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Address Line | 14781 POMERADO RD # 547
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City | POWAY
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State | CA
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Zip | 92064-2802
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Country | US
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Telephone | 618-218-7609
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MRS. JYOTHI MURTHY
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Credential | MS
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Telephone | 619-218-7609
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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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