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General NPI Number Information
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NPI Number | 1467121806
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Entity Type | Individual
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Provider Name | TESNEEM ABED SLP
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Gender | Female
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Dates
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Enumeration Date | 09/09/2021
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 1610 ARDEN WAY STE 195
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City | SACRAMENTO
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State | CA
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Zip | 95815-4035
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Country | US
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Telephone | 916-895-5449
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Fax |
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Provider Business Mailing Address
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Address Line | 111 ADORA CIR
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City | ROSEVILLE
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State | CA
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Zip | 95678-4400
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 15437
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License Number State | CA
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