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General NPI Number Information
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NPI Number | 1316287162
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Entity Type | Organization
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Legal Business Name | FALTZ ASSOCIATES, INC.
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Dates
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Enumeration Date | 02/14/2013
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 4279 PIEDMONT AVE
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City | OAKLAND
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State | CA
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Zip | 94611-4713
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Country | US
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Telephone | 510-654-3381
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Fax | 510-654-0866
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Provider Business Mailing Address
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Address Line | 4279 PIEDMONT AVE
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City | OAKLAND
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State | CA
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Zip | 94611-4713
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Country | US
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Telephone | 510-654-3381
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Fax | 510-654-0866
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Authorized Official
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Title or Position | SPEECH AND LANGUAGE PATHOLOGIST
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Name | MS. AMY E. FALTZ
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Credential | M.S.
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Telephone | 510-654-3381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 2728
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License Number State | CA
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