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1588581672 NPI number — MADISON SAVANNAH MANWARRING SLPA

NPI Number: 1588581672
Health Care Provider/Practitioner: MADISON SAVANNAH MANWARRING SLPA

Information about “1588581672” NPI (MADISON SAVANNAH MANWARRING SLPA) exists in 1588581672 in HTML format HTML  |  1588581672 in plain Text format TXT  |  1588581672 in PDF (Portable Document Format) PDF  |  1588581672 in an XML format XML  formats.

NPI Number : 1588581672 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588581672",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MANWARRING",
    "FirstName": "MADISON",
    "MiddleName": "SAVANNAH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "SLPA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STUART",
    "OtherFirstName": "MADISON",
    "OtherMiddleName": "SAVANNAH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "SLPA",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "3930 W 176TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TORRANCE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90504-3213",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-999-1376",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3415 S SEPULVEDA BLVD STE 1100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90034-7090",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-376-1827",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/30/2026",
    "LastUpdateDate": "06/30/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2355S0801X",
        "TaxonomyName": "Speech-Language Assistant",
        "LicenseNumber": "10211",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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