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General NPI Number Information
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NPI Number | 1437868007
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Entity Type | Organization
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Legal Business Name | HAMPTON PEDIATRIC SPEECH THERAPY
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Dates
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Enumeration Date | 11/22/2022
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 1875 W REDONDO BEACH BLVD
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City | GARDENA
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State | CA
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Zip | 90247-3641
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Country | US
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Telephone | 562-275-5223
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Fax |
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Provider Business Mailing Address
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Address Line | 4505 W 59TH PL
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City | LOS ANGELES
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State | CA
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Zip | 90043-3341
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Country | US
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Telephone | 562-275-5223
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | CAMILLE HAMPTON
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Credential | MS., CCC- SLP
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Telephone | 562-275-5223
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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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