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General NPI Number Information
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NPI Number | 1295832376
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Entity Type | Individual
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Provider Name | DEBORAH KUNIN ROME M.S.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6345 BALBOA BLVD BLDG 3, SUITE 250
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City | ENCINO
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State | CA
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Zip | 91316-1519
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Country | US
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Telephone | 818-344-4975
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Fax | 818-344-4584
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Provider Business Mailing Address
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Address Line | 18122 MIRANDA ST
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City | TARZANA
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State | CA
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Zip | 91356-1712
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Country | US
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Telephone | 818-343-1723
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Fax | 818-758-0193
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP3345
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License Number State | CA
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