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General NPI Number Information
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NPI Number | 1750951695
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Entity Type | Organization
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Legal Business Name | JDB SPEECH LANGUAGE SERVICES
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Dates
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Enumeration Date | 07/01/2021
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Last Update Date | 07/01/2021
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Provider Practice Location Address
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Address Line | 3002 DOW AVENUE SUITE 314
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City | TUSTIN
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State | CA
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Zip | 92780-7234
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Country | US
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Telephone | 949-418-9353
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Fax |
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Provider Business Mailing Address
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Address Line | 13681 NEWPORT AVENUE SUITE 8-246
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City | TUSTIN
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State | CA
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Zip | 92780-4689
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Country | US
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Telephone | 949-418-9353
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Fax |
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Authorized Official
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Title or Position | OWNER/ SPEECH LANGUAGE PATHOLOGIST
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Name | JILL LYNN D'BRAUNSTEIN
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Credential | SLP
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Telephone | 714-623-1067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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