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General NPI Number Information
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NPI Number | 1417698192
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Entity Type | Organization
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Legal Business Name | SOUNDS AND WORDS SPEECH THERAPY, INC.
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 1440 WASHINGTON BLVD # A5
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City | CONCORD
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State | CA
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Zip | 94521-4098
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Country | US
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Telephone | 925-966-2173
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Fax |
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Provider Business Mailing Address
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Address Line | 1440 WASHINGTON BLVD # A5
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City | CONCORD
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State | CA
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Zip | 94521-4098
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Country | US
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Telephone | 925-966-2173
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER DANTANAVATANAWONG-BARNES
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Credential | M.A., CCC-SLP
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Telephone | 925-966-2173
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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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