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General NPI Number Information
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NPI Number | 1881332567
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Entity Type | Organization
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Legal Business Name | HUES SPEECH THERAPY SERVICES CORPORATION
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 550 S PALOS VERDES ST
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City | SAN PEDRO
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State | CA
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Zip | 90731-5107
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Country | US
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Telephone | 213-577-0121
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Fax |
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Provider Business Mailing Address
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Address Line | 550 S PALOS VERDES ST APT 204
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City | SAN PEDRO
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State | CA
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Zip | 90731-5107
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Country | US
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Telephone | 562-314-7174
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. SHAQUILLE COOPER
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Credential | M.S. CCC-SLP
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Telephone | 562-314-7174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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