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General NPI Number Information
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NPI Number | 1447734660
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Entity Type | Organization
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Legal Business Name | FULL CIRCLE SPEECH THERAPY
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 10/02/2018
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Provider Practice Location Address
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Address Line | 30 LANDING CIR STE 100
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City | CHICO
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State | CA
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Zip | 95973-7895
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Country | US
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Telephone | 530-892-9127
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Fax | 530-809-4881
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Provider Business Mailing Address
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Address Line | 30 LANDING CIR STE 100
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City | CHICO
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State | CA
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Zip | 95973-7895
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Country | US
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Telephone | 530-892-9127
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Fax | 530-809-4881
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH VICHI
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Credential | CCC SPL
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Telephone | 530-892-9127
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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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