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General NPI Number Information
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NPI Number | 1306504956
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Entity Type | Organization
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Legal Business Name | ELOQUIUM SPEECH THERAPY INC
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Dates
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Enumeration Date | 12/01/2021
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 22 W MICHELTORENA ST STE C
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City | SANTA BARBARA
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State | CA
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Zip | 93101-6524
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Country | US
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Telephone | 801-674-9984
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Fax |
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Provider Business Mailing Address
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Address Line | 1808 N HARVARD BLVD APT 6
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City | LOS ANGELES
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State | CA
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Zip | 90027-3626
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Country | US
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Telephone | 805-364-0143
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MICHELLE STETTLER
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Credential | CCC-SLP
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Telephone | 805-364-0143
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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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