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General NPI Number Information
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NPI Number | 1285461327
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Entity Type | Individual
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Provider Name | MAHA GHACHAM
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Gender | Female
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 8535 FLORENCE AVE STE 200
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City | DOWNEY
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State | CA
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Zip | 90240-4071
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Country | US
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Telephone | 562-261-5538
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Fax |
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Provider Business Mailing Address
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Address Line | 17216 SATICOY ST # 141
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City | VAN NUYS
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State | CA
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Zip | 91406-2103
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Country | US
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Telephone |
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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