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General NPI Number Information
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NPI Number | 1417151960
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Entity Type | Organization
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Legal Business Name | SPEECH AND LANGUAGE THERAPY ASSOC., INC.
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8089 MADISON AVE STE 7
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95610-7964
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Country | US
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Telephone | 916-536-1100
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Fax | 916-536-1114
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Provider Business Mailing Address
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Address Line | 8089 MADISON AVE STE 7
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95610-7964
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Country | US
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Telephone | 916-536-1100
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Fax | 916-536-1114
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARY CURRIER
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Credential |
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Telephone | 916-536-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0000010873
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License Number State | CA
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