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General NPI Number Information
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NPI Number | 1679044200
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Entity Type | Organization
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Legal Business Name | KIDS FIRST SPEECH AND LANGUAGE INTERVENTION
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Dates
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Enumeration Date | 12/07/2018
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Last Update Date | 12/07/2018
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Provider Practice Location Address
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Address Line | 1728 LEE WAY
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City | MILPITAS
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State | CA
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Zip | 95035-9013
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Country | US
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Telephone | 408-728-0762
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Fax |
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Provider Business Mailing Address
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Address Line | 1728 LEE WAY
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City | MILPITAS
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State | CA
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Zip | 95035-9013
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Country | US
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Telephone | 408-728-0762
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MISS CORRINA CHANG
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Credential | M.S., CCC/SLP
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Telephone | 408-728-0762
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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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