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General NPI Number Information
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NPI Number | 1730888371
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Entity Type | Organization
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Legal Business Name | CET BURBANK LLC
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 601 S GLENOAKS BLVD STE 204
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City | BURBANK
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State | CA
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Zip | 91502-2775
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Country | US
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Telephone | 818-917-5268
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Fax |
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Provider Business Mailing Address
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Address Line | 601 S GLENOAKS BLVD STE 204
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City | BURBANK
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State | CA
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Zip | 91502-2775
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Country | US
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Telephone | 818-917-5268
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | DR. ANNI CHARTHERN
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Credential | CSCD, CCC-SLP
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Telephone | 818-917-5268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 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 #3
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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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