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General NPI Number Information
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NPI Number | 1699006031
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Entity Type | Organization
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Legal Business Name | THE SPEECH PATH
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | 1752 WALNUT TREE LN
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City | CHICO
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State | CA
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Zip | 95928-6979
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Country | US
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Telephone | 530-893-5827
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Fax |
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Provider Business Mailing Address
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Address Line | 1752 WALNUT TREE LN
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City | CHICO
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State | CA
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Zip | 95928-6979
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Country | US
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Telephone | 530-893-5827
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CATHLEEN LINHARES
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Credential | SLP
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Telephone | 530-893-5827
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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 | 10966
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License Number State | CA
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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 | SP19913
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License Number State | CA
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