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General NPI Number Information
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NPI Number | 1871251363
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Entity Type | Organization
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Legal Business Name | CLOCKWORK SPEECH AND LANGUAGE THERAPY, INC.
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Dates
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Enumeration Date | 12/02/2021
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 4665 SIERRA VISTA AVE APT 203
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City | RIVERSIDE
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State | CA
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Zip | 92505-8538
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Country | US
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Telephone | 559-301-6423
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 N ST STE N
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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 |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHLOE HILL
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Credential |
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Telephone | 559-301-6423
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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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