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General NPI Number Information
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NPI Number | 1427831890
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Entity Type | Organization
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Legal Business Name | SPEECH AT HOME SPEECH & LANGUAGE THERAPY, PC
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 510C E EL CAMINO REAL # 70331
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City | SUNNYVALE
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State | CA
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Zip | 94087-1940
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Country | US
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Telephone | 408-337-2008
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Fax |
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Provider Business Mailing Address
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Address Line | 510C E EL CAMINO REAL # 70331
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City | SUNNYVALE
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State | CA
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Zip | 94087-1940
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Country | US
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Telephone | 408-337-2008
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Fax |
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Authorized Official
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Title or Position | OWNER / CEO
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Name | MADISON MARCH HEGARTY
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Credential | MHS CCC-SLP
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Telephone | 408-337-2008
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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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