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General NPI Number Information
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NPI Number | 1760918981
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Entity Type | Organization
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Legal Business Name | SHARE SPEECH AND LANGUAGE CO., INC.
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Dates
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Enumeration Date | 05/08/2017
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1149 W 190TH ST STE 2300
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City | GARDENA
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State | CA
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Zip | 90248-4350
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Country | US
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Telephone | 310-892-5812
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Fax | 310-362-8948
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Provider Business Mailing Address
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Address Line | 1149 W 190TH ST STE 2300
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City | GARDENA
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State | CA
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Zip | 90248-4350
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Country | US
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Telephone | 310-892-5812
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Fax | 310-362-8948
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Authorized Official
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Title or Position | CEO
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Name | SHARON OH
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Credential |
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Telephone | 310-892-5812
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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 | 21816
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License Number State | CA
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