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General NPI Number Information
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NPI Number | 1508721499
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Entity Type | Organization
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Legal Business Name | TREE OF LIFE FEEDING & SPEECH THERAPY CO.
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 3816 WOODRUFF AVE STE 102
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City | LONG BEACH
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State | CA
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Zip | 90808-2145
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Country | US
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Telephone | 714-251-6515
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Fax |
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Provider Business Mailing Address
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Address Line | 3454 WOODRUFF AVE
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City | LONG BEACH
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State | CA
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Zip | 90808-2735
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Country | US
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Telephone | 714-251-6515
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY GUARDADO
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Credential | M.S. CCC-SLP, IBCLC
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Telephone | 714-251-6515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #2
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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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