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General NPI Number Information
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NPI Number | 1497523542
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Entity Type | Organization
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Legal Business Name | 2 CHEEKY MONKEYS SPEECH & FEEDING A PROFESSIONAL SPEECH THERAPY CORPOR
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 115 CHESHAM AVE
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City | SAN CARLOS
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State | CA
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Zip | 94070-2801
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Country | US
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Telephone | 650-395-9568
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Fax |
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Provider Business Mailing Address
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Address Line | 115 CHESHAM AVE
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City | SAN CARLOS
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State | CA
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Zip | 94070-2801
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Country | US
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Telephone | 650-395-9568
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CLINICIAN
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Name | MRS. NISHA JOHNSON
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Credential | MS, CCC-SLP
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Telephone | 650-395-9568
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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 |
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License Number State |
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