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General NPI Number Information
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NPI Number | 1689388787
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Entity Type | Individual
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Provider Name | TEAGAN NORIMATSU
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Gender | Female
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 441 N LAKE ST
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City | HEMET
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State | CA
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Zip | 92544-3314
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Country | US
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Telephone | 951-834-6181
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Fax |
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Provider Business Mailing Address
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Address Line | 28338 TUPELO RD
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City | MENIFEE
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State | CA
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Zip | 92584-7239
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Country | US
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Telephone | 951-834-6181
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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 |
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License Number State | CA
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