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General NPI Number Information
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NPI Number | 1720993959
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Entity Type | Individual
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Provider Name | FRIDA SOFIA ORTIZ-BLANDON M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 1427 PALMETTO AVE
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City | PACIFICA
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State | CA
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Zip | 94044-2284
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Country | US
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Telephone | 650-580-7434
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Fax |
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Provider Business Mailing Address
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Address Line | 501 NEWMAN DR
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-2118
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Country | US
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Telephone | 650-580-7434
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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 | 40514
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License Number State | CA
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