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General NPI Number Information
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NPI Number | 1306102058
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Entity Type | Organization
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Legal Business Name | EFFECTICOMMLLC
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 8669 E SAN ALBERTO DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4309
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Country | US
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Telephone | 602-499-1589
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Fax |
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Provider Business Mailing Address
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Address Line | 10571 E BAHIA DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-2458
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Country | US
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Telephone | 602-499-1589
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC SPEECH LANGUAGE PATHOLOGI
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Name | MRS. ROBIN AMY RUDIN
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Credential | MNS, CCC-SLP
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Telephone | 602-499-1589
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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 | SLP0699
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License Number State | AZ
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