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General NPI Number Information
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NPI Number | 1740931666
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Entity Type | Organization
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Legal Business Name | SAMPAGUITA SPEECH THERAPY
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 25139 ANGELINA LN
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City | HAYWARD
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State | CA
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Zip | 94544-2490
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Country | US
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Telephone | 916-792-9054
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Fax |
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Provider Business Mailing Address
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Address Line | 25139 ANGELINA LN
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City | HAYWARD
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State | CA
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Zip | 94544-2490
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Country | US
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Telephone | 916-792-9054
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Fax |
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Authorized Official
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Title or Position | CEO/SPEECH LANGUAGE PATHOLOGIST
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Name | KHARYL ANNE BUGAOISAN PIANO
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Credential | MS, CCC-SLP
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Telephone | 510-224-3699
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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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