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General NPI Number Information
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NPI Number | 1457114886
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Entity Type | Organization
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Legal Business Name | VIRTUAL SPEECH THERAPY SOLUTIONS, INC
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 41176 GUAVA ST STE A
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City | MURRIETA
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State | CA
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Zip | 92562-9146
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Country | US
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Telephone | 909-654-4062
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Fax | 951-524-7932
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Provider Business Mailing Address
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Address Line | 41176 GUAVA ST STE A
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City | MURRIETA
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State | CA
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Zip | 92562-9146
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Country | US
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Telephone | 909-654-4062
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Fax | 951-524-7932
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. JACLYN MARIE SHASHA
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Credential | CCC-SLP
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Telephone | 909-654-4062
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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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