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General NPI Number Information
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NPI Number | 1497378236
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Entity Type | Organization
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Legal Business Name | ALBURNUM APSLPC
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Dates
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Enumeration Date | 05/27/2020
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Last Update Date | 05/29/2020
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Provider Practice Location Address
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Address Line | 838 N EVERGREEN ST
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City | BURBANK
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State | CA
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Zip | 91505-2711
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Country | US
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Telephone | 818-946-4157
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Fax |
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Provider Business Mailing Address
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Address Line | 321 N PASS AVE # 8
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City | BURBANK
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State | CA
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Zip | 91505-3859
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Country | US
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Telephone | 818-946-4157
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, SPEECH-LANGUAGE PATH
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Name | REBEKAH TAYLOR
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Credential |
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Telephone | 818-946-4157
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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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