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General NPI Number Information
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NPI Number | 1356463004
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Entity Type | Organization
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Legal Business Name | VINCENT & ASSOCIATES
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3560 J STREET SUITE 1
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City | SACRAMENTO
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State | CA
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Zip | 95618
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Country | US
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Telephone | 916-454-3000
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Fax | 916-484-1366
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Provider Business Mailing Address
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Address Line | 3560 J STREET SUITE 1
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City | SACRAMENTO
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State | CA
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Zip | 95618
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Country | US
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Telephone | 916-454-3000
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Fax | 916-484-1366
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Authorized Official
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Title or Position | DIRECTOR
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Name | CATHERINE L VINCENT
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Credential | MS CCC SP
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Telephone | 916-454-3000
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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 | SP2187
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License Number State | CA
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