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NPI 1407658685

NPI 1407658685 : EZ SPEECH THERAPY, P.C. : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1407658685
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    Entity Type          |    Organization 
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    Legal Business Name  |    EZ SPEECH THERAPY, P.C. 
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Dates
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    Enumeration Date     |    03/26/2025
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    Last Update Date     |    03/26/2025
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Provider Practice Location Address
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    Address Line         |    5100 COLISEUM ST. 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90016-5308
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    Country              |    US
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    Telephone            |    323-484-1734
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5100 COLISEUM ST 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90016-5308
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    Country              |    US
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    Telephone            |    323-484-1734
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SPEECH LANGUAGE PATHOLOGIST
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    Name                 |    MS. ALEXANDRA NOELLE SCOTT 
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    Credential           |    SLP
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    Telephone            |    626-644-9454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0700X
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    Taxonomy Name        |    Hearing and Speech Clinic/Center
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    License Number       |    
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    License Number State |    
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