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NPI 1629690052

NPI 1629690052 : EXPATIATE COMMUNICATIONS, LLC : PASADENA, CA

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General NPI Number Information
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    NPI Number           |    1629690052
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    Entity Type          |    Organization 
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    Legal Business Name  |    EXPATIATE COMMUNICATIONS, LLC 
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Dates
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    Enumeration Date     |    05/07/2020
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    Last Update Date     |    05/07/2020
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Provider Practice Location Address
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    Address Line         |    155 N LAKE AVE STE 800 
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91101-1857
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    Country              |    US
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    Telephone            |    844-387-5836
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    155 N LAKE AVE STE 800 
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91101-1857
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    Country              |    US
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    Telephone            |    844-387-5836
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP OF OPERATIONS
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    Name                 |     MANSI  BHATIA 
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    Credential           |    
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    Telephone            |    310-462-0128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0700X
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    Taxonomy Name        |    Hearing and Speech Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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