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General NPI Number Information
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NPI Number | 1831885821
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Entity Type | Organization
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Legal Business Name | JIBBER JABBER SPEECH LLC
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Dates
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Enumeration Date | 04/13/2023
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Last Update Date | 06/03/2023
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Provider Practice Location Address
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Address Line | 2108 N ST STE 8223
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 925-203-5688
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 342
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City | RIO VISTA
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State | CA
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Zip | 94571-0342
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Country | US
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Telephone | 916-601-5254
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Fax |
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST/ OWNER
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Name | MS. YASMIN HERNANDEZ
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Credential | CCC-SLP
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Telephone | 916-601-5254
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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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