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General NPI Number Information
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NPI Number | 1336061589
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Entity Type | Individual
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Provider Name | MR. DHILIP MOHANAN
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Gender | Male
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 7041 KOLL CENTER PKWY STE 210
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City | PLEASANTON
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State | CA
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Zip | 94566-3189
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Country | US
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Telephone | 855-828-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 25403 TAUPE AVE
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City | MORENO VALLEY
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State | CA
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Zip | 92553-7169
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Country | US
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Telephone | 951-798-9289
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | CA
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