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General NPI Number Information
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NPI Number | 1851627954
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Entity Type | Organization
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Legal Business Name | COMMUNICATION BRIDGE THERAPIES
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Dates
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Enumeration Date | 10/23/2009
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Last Update Date | 10/23/2009
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Provider Practice Location Address
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Address Line | 665 3RD ST SUITE 513
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-1926
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Country | US
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Telephone | 415-756-9314
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Fax | 866-881-7950
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Provider Business Mailing Address
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Address Line | 665 3RD ST SUITE 513
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-1926
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Country | US
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Telephone | 415-756-9314
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Fax | 866-881-7950
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Authorized Official
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Title or Position | PRESIDENT, SPEECH PATHOLOGIST
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Name | JULIE MICHELLE HENNESSEY
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Credential | M.A. CCC-SLP
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Telephone | 415-756-9314
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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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