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General NPI Number Information
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NPI Number | 1538096375
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Entity Type | Individual
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Provider Name | PAMELA LEE GREENHALGH SLP, CCC
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Gender | Female
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 13461 RAMONA AVE
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City | CHINO
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State | CA
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Zip | 91710-5029
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Country | US
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Telephone | 909-628-1202
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Fax | 909-548-6095
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Provider Business Mailing Address
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Address Line | 835 EL DORADO DR
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City | FULLERTON
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State | CA
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Zip | 92832-1217
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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 | SP6708
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License Number State | CA
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