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General NPI Number Information
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NPI Number | 1568005312
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Entity Type | Organization
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Legal Business Name | SPRING SPEECH THERAPY, PC
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Dates
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Enumeration Date | 10/24/2019
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 425 HARBOR BLVD STE 2A
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City | BELMONT
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State | CA
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Zip | 94002-4048
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Country | US
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Telephone | 206-450-0562
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Fax |
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Provider Business Mailing Address
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Address Line | 2833 JUNIPER ST
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City | SAN MATEO
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State | CA
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Zip | 94403-2742
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Country | US
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Telephone | 650-918-6321
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Fax | 650-532-9433
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SALOMI DAFTARY
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Credential | MA, CCC-SLP
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Telephone | 650-918-6321
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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 |
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License Number State |
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