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General NPI Number Information
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NPI Number | 1396516373
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Entity Type | Organization
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Legal Business Name | TALK N' ROLL INCORPORATED
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Dates
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Enumeration Date | 01/10/2024
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 620 E CENTER AVE
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City | VISALIA
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State | CA
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Zip | 93292-6417
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Country | US
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Telephone | 559-827-1983
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Fax |
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Provider Business Mailing Address
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Address Line | 544 W MOUNTAIN VIEW AVE
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City | WOODLAKE
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State | CA
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Zip | 93286-1415
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Country | US
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Telephone | 559-827-1983
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | JOSE DE JESUS GONZALEZ
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Credential |
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Telephone | 559-827-1983
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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 |
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