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General NPI Number Information
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NPI Number | 1548383482
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Entity Type | Organization
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Legal Business Name | NANCY A SEDAT MS-CCC-SLP
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Dates
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Enumeration Date | 04/07/2007
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 2811 WILSHIRE BLVD SUITE 785
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City | SANTA MONICA
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State | CA
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Zip | 90403-4803
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Country | US
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Telephone | 310-264-8300
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Fax | 310-264-8360
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Provider Business Mailing Address
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Address Line | 2811 WILSHIRE BLVD SUITE 785
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City | SANTA MONICA
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State | CA
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Zip | 90403-4803
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Country | US
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Telephone | 310-264-8300
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Fax | 310-264-8360
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Authorized Official
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Title or Position | OWNER
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Name | NANCY A. SEDAT
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Credential | MS CCC SLP
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Telephone | 310-264-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | SP2415
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License Number State | CA
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