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General NPI Number Information
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NPI Number | 1417502410
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Entity Type | Individual
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Provider Name | ANNALINDA ELIZABETH HARBOTTLE
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Gender | Female
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1320 WILLOW PASS RD STE 639&640
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City | CONCORD
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State | CA
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Zip | 94520-5232
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Country | US
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Telephone | 707-410-5329
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Fax |
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Provider Business Mailing Address
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Address Line | 3045 CONCORD BLVD
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City | CONCORD
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State | CA
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Zip | 94519-2612
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Country | US
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Telephone | 949-413-4981
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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 | 13712
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License Number State | CA
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