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General NPI Number Information
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NPI Number | 1578112793
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Entity Type | Organization
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Legal Business Name | SMALLTALK SPEECH & OCCUPATIONAL THERAPY
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Dates
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Enumeration Date | 09/10/2019
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 260 E CHASE AVE
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City | EL CAJON
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State | CA
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Zip | 92020-6325
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Country | US
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Telephone | 619-647-6157
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Fax | 858-997-2088
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Provider Business Mailing Address
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Address Line | 260 E CHASE AVE
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City | EL CAJON
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State | CA
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Zip | 92020-6325
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Country | US
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Telephone | 619-647-6157
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Fax | 858-997-2088
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHAUNA OAKES
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Credential |
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Telephone | 619-647-6157
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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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