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General NPI Number Information
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NPI Number | 1295943512
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Entity Type | Organization
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Legal Business Name | THE SPEECH STATION, A PROFESSIONAL SPEECH THERAPY CORPORATION
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 10/13/2007
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Provider Practice Location Address
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Address Line | 785 GRAND AVE STE 204
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City | CARLSBAD
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State | CA
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Zip | 92008-2370
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Country | US
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Telephone | 760-730-9675
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Fax | 760-730-9669
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Provider Business Mailing Address
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Address Line | 785 GRAND AVE STE 204
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City | CARLSBAD
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State | CA
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Zip | 92008-2370
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Country | US
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Telephone | 760-730-9675
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Fax | 760-730-9669
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | REGINA DARLING
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Credential | MS CCC-SLP
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Telephone | 760-730-9675
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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 |
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License Number State |
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