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General NPI Number Information
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NPI Number | 1801263041
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Entity Type | Individual
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Provider Name | SARA RHODEHOUSE PH.D., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 19740 ELLIS HENRY CT
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City | SANTA CLARITA
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State | CA
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Zip | 91321-2167
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Country | US
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Telephone | 661-360-3241
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Fax |
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Provider Business Mailing Address
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Address Line | 26820 NEFF CT
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City | SANTA CLARITA
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State | CA
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Zip | 91351-6927
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Country | US
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Telephone | 661-360-3241
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 5123274-4102
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP 21678
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License Number State | CA
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