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General NPI Number Information
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NPI Number | 1417572330
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Entity Type | Organization
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Legal Business Name | THE SPEECH EXCHANGE AND REHABILITATION SERVICES LLC
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Dates
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Enumeration Date | 06/16/2020
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Last Update Date | 06/16/2020
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Provider Practice Location Address
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Address Line | 1254 N COLLEGE AVE
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City | CLAREMONT
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State | CA
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Zip | 91711-3929
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Country | US
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Telephone | 404-216-9501
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Fax |
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Provider Business Mailing Address
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Address Line | 1254 N COLLEGE AVE
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City | CLAREMONT
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State | CA
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Zip | 91711-3929
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Country | US
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Telephone | 404-216-9501
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH-LANGUAGE PATHOLOGIST
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Name | DR. KHALYN SOLOMON
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Credential | SLPD, CCC-SLP
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Telephone | 404-216-9501
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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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