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General NPI Number Information
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NPI Number | 1881406858
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Entity Type | Organization
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Legal Business Name | INTUITIVE KIDS A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 1509 BUENA VIS APT 202
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-5908
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Country | US
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Telephone | 714-202-6857
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Fax |
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Provider Business Mailing Address
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Address Line | 5506 E PARTRIDGE LN
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City | ORANGE
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State | CA
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Zip | 92869-4338
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Country | US
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Telephone | 714-418-8367
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LEEN YOSEF
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Credential | MS
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Telephone | 714-418-8367
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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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