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General NPI Number Information
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NPI Number | 1851750699
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Entity Type | Organization
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Legal Business Name | SMALL TALK SPEECH AND LANGUAGE THERAPY, INC
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Dates
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Enumeration Date | 02/22/2016
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Last Update Date | 02/22/2016
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Provider Practice Location Address
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Address Line | 415 N CRESCENT DR SUITE 360
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4860
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Country | US
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Telephone | 310-248-2888
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Fax | 310-248-6355
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Provider Business Mailing Address
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Address Line | 415 N CRESCENT DR SUITE 360
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4860
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Country | US
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Telephone | 310-248-2888
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Fax | 310-248-6355
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST/OWNER
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Name | DINNEEN KABER
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Credential | M.S., CCC-SLP, C/NDT
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Telephone | 310-248-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | SP7921
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License Number State | CA
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