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General NPI Number Information
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NPI Number | 1477944650
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Entity Type | Organization
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Legal Business Name | SPEECH MATTERS, SPEECH THERAPY INC.
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Dates
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Enumeration Date | 02/10/2015
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Last Update Date | 07/23/2015
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Provider Practice Location Address
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Address Line | 1125 S BEVERLY DR SUITE 601A
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City | LOS ANGELES
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State | CA
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Zip | 90035-1148
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Country | US
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Telephone | 424-258-5219
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 S BEVERLY DR SUITE 601A
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City | LOS ANGELES
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State | CA
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Zip | 90035-1148
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Country | US
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Telephone | 424-258-5219
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARIELA SHANDLING
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Credential |
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Telephone | 424-258-5219
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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 | SP22495
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License Number State | CA
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