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General NPI Number Information
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NPI Number | 1538554464
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Entity Type | Organization
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Legal Business Name | COMMUNICATION BRIDGES, INC.
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 03/30/2015
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Provider Practice Location Address
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Address Line | 23 MAUCHLY STE 106
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City | IRVINE
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State | CA
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Zip | 92618-2330
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Country | US
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Telephone | 949-478-2558
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Fax | 855-688-1268
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Provider Business Mailing Address
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Address Line | 2312 PARK AVE # 168
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City | TUSTIN
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State | CA
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Zip | 92782-2702
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Country | US
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Telephone | 949-478-2558
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Fax | 855-688-1268
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Authorized Official
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Title or Position | OWNER
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Name | SONALI SHAH
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Credential |
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Telephone | 949-478-2558
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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 | SP13895
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License Number State | CA
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