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General NPI Number Information
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NPI Number | 1700739646
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Entity Type | Organization
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Legal Business Name | SPROUTING SPEECH THERAPY INC
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 5663 MILTON PL
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City | WHITTIER
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State | CA
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Zip | 90601-2422
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Country | US
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Telephone | 909-859-0306
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Fax |
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Provider Business Mailing Address
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Address Line | 5663 MILTON PL
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City | WHITTIER
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State | CA
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Zip | 90601-2422
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOMINIQUE CHUNG
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Credential | M.S., CCC-SLP
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Telephone | 949-547-8737
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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 |
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