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General NPI Number Information
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NPI Number | 1760858773
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Entity Type | Organization
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Legal Business Name | SENSEABILITIES
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 2275 INDIGO HILLS DR. #3
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City | CORONA
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State | CA
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Zip | 92879-7970
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Country | US
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Telephone | 760-981-2069
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Fax |
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Provider Business Mailing Address
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Address Line | 2275 INDIGO HILLS DR. #3
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City | CORONA
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State | CA
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Zip | 92879-7970
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Country | US
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Telephone | 760-982-3069
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. TAMARA KECK
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Credential |
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Telephone | 760-981-2069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 3316
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License Number State | CA
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