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General NPI Number Information
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NPI Number | 1508489063
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Entity Type | Organization
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Legal Business Name | BUILDING BLOCKS SPEECH AND LANGUAGE CO.
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 6508 LONETREE BLVD STE 104
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City | ROCKLIN
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State | CA
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Zip | 95765-5885
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Country | US
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Telephone | 510-759-7829
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Fax | 916-258-0054
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Provider Business Mailing Address
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Address Line | 901 FARM HOUSE LN
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City | ROCKLIN
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State | CA
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Zip | 95765-5369
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Country | US
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Telephone | 510-759-7829
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Fax | 916-258-0054
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Authorized Official
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Title or Position | PRESIDENT/SPEECH LANGUAGE THERAPIST
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Name | MELISSA SAVAGE
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Credential | M.S. CCC-SLP
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Telephone | 510-759-7829
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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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