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General NPI Number Information
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NPI Number | 1316651391
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Entity Type | Individual
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Provider Name | ASHLEY MARIE ALEJANDRO ZAMORA
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Gender | Female
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Dates
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Enumeration Date | 01/13/2023
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 310 E. DEL MAR BLVD
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City | PASADENA
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State | CA
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Zip | 91101
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Country | US
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Telephone | 626-734-6555
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Fax |
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Provider Business Mailing Address
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Address Line | 19124 MALABAR ST
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City | SANTA CLARITA
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State | CA
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Zip | 91351-4404
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Country | US
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Telephone | 818-807-5328
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Fax |
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 7615
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License Number State | CA
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