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General NPI Number Information
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NPI Number | 1679428718
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Entity Type | Organization
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Legal Business Name | PEEPAL TREETHERAPY AND HEARING SERVICES
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 818 ALLEGRE CIR
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City | CORONA
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State | CA
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Zip | 92879-8874
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Country | US
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Telephone | 917-312-2090
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Fax |
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Provider Business Mailing Address
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Address Line | 818 ALLEGRE CIR
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City | CORONA
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State | CA
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Zip | 92879-8874
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Country | US
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Telephone | 917-312-2090
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GOVARDHANACHARY VADLA
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Credential | MASLP-CCC
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Telephone | 917-312-2090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State |
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Taxonomy #6
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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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