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General NPI Number Information
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NPI Number | 1780925750
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Entity Type | Organization
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Legal Business Name | LANGUAGE BUILDERS
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Dates
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Enumeration Date | 03/15/2013
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Last Update Date | 03/15/2013
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Provider Practice Location Address
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Address Line | 795 CALLE PORTILLA
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City | CAMARILLO
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State | CA
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Zip | 93010-9207
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Country | US
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Telephone | 805-750-3792
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Fax | 805-484-1961
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Provider Business Mailing Address
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Address Line | 795 CALLE PORTILLA
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City | CAMARILLO
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State | CA
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Zip | 93010-9207
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Country | US
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Telephone | 805-750-3792
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Fax | 805-484-1961
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. KATHLEEN C LEE
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Credential | M.A.
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Telephone | 805-750-3792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | SP3129
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License Number State | CA
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