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General NPI Number Information
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NPI Number | 1578889390
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Entity Type | Organization
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Legal Business Name | LET'S TALK SPEECH & LANGUAGE THERAPY
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 04/19/2010
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Provider Practice Location Address
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Address Line | 7 MERRIWEATHER PL.
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City | LADERA RANCH
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State | CA
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Zip | 92694
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Country | US
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Telephone | 949-388-6979
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Fax | 949-388-6073
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Provider Business Mailing Address
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Address Line | 7 MERRIWEATHER PLACE
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City | LADERA RANCH
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State | CA
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Zip | 92694
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Country | US
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Telephone | 949-388-6979
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Fax | 949-388-6073
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | JILL CHRISTINE DEWS
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Credential | M.A. CCC-SLP
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Telephone | 949-388-6979
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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 | SP12461
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License Number State | CA
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