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General NPI Number Information
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NPI Number | 1366245938
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Entity Type | Individual
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Provider Name | MS. AISHWARYA RAJESH
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Gender | Female
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 2516 VERNE ROBERTS CIR STE H102
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City | ANTIOCH
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State | CA
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Zip | 94509-7918
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Country | US
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Telephone | 925-350-0169
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Fax |
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Provider Business Mailing Address
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Address Line | 4809 WOODBRIDGE WAY
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City | ANTIOCH
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State | CA
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Zip | 94531-8115
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Country | US
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Telephone | 510-696-2997
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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 | 20353
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License Number State | CA
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