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General NPI Number Information
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NPI Number | 1487540076
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Entity Type | Individual
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Provider Name | CHARLOTTE HATA
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 732 VASQUEZ CT
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City | SONOMA
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State | CA
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Zip | 95476-5546
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Country | US
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Telephone | 516-732-0522
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Fax |
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Provider Business Mailing Address
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Address Line | 26711 SHOREWOOD RD
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-2340
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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 | 34182
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License Number State | CA
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