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General NPI Number Information
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NPI Number | 1649707787
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Entity Type | Individual
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Provider Name | DEBORAH NIN M.A., C.C.C.-S.L.P.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 675 ALMANOR AVENUE
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City | SUNNYVALE
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State | CA
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Zip | 94085
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Country | US
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Telephone | 408-734-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 COLONY ST, APT 8
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043
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Country | US
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Telephone | 352-278-9269
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 20217
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License Number State | CA
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