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General NPI Number Information
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NPI Number | 1801651187
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Entity Type | Organization
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Legal Business Name | LITTLE OLIVES SPEECH THERAPY, INC.
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 41185 GOLDEN GATE CIR STE 108
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City | MURRIETA
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State | CA
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Zip | 92562-6995
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Country | US
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Telephone | 951-579-8525
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Fax | 951-468-8475
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Provider Business Mailing Address
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Address Line | 41185 GOLDEN GATE CIR STE 108
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City | MURRIETA
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State | CA
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Zip | 92562-6995
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Country | US
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Telephone | 951-579-8525
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH LANGUAGE PATHOLOGIST
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Name | DEYANAH JARRAR
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Credential |
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Telephone | 951-579-8525
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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 |
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License Number State |
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