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General NPI Number Information
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NPI Number | 1841438827
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Entity Type | Individual
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Provider Name | JANET AU HALL SLP
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Gender | Female
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Dates
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Enumeration Date | 01/28/2009
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 10470 FOOTHILL BLVD STE 101
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3754
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Country | US
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Telephone | 909-948-0411
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Fax | 909-948-0511
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Provider Business Mailing Address
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Address Line | 1845 BUSINESS CENTER DR SUITE 127
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3467
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Country | US
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Telephone | 909-890-9030
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Fax | 909-890-4393
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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 | 8036
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License Number State | CA
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