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General NPI Number Information
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NPI Number | 1770407298
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Entity Type | Individual
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Provider Name | KACIE ELIZABETH RAMIREZ-DUQUE SLPA
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Gender | Female
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 19772 MACARTHUR BLVD STE 200
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City | IRVINE
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State | CA
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Zip | 92612-2405
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Country | US
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Telephone | 657-478-8334
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Fax |
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Provider Business Mailing Address
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Address Line | 1940 E 16TH ST APT O206
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-5966
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Country | US
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Telephone | 657-478-8334
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 9768
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License Number State | CA
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