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General NPI Number Information
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NPI Number | 1295598209
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Entity Type | Organization
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Legal Business Name | BOLDLY COMMUNICATING AAC, SPEECH, & LANGUAGE THERAPY INC.
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 2211 POST ST STE 300
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3442
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Country | US
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Telephone | 858-337-0790
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Fax |
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Provider Business Mailing Address
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Address Line | 318 HOLYOKE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94134-1442
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Country | US
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Telephone | 858-337-0790
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CASEY RUFFIN
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Credential | MS CCC-SLP
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Telephone | 415-569-0145
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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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