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General NPI Number Information
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NPI Number | 1891044798
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Entity Type | Organization
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Legal Business Name | CLARION SPEECH AND LANGUAGE SERVICES, INC.
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 09/06/2012
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Provider Practice Location Address
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Address Line | 555 W COMPTON BLVD SUITE 101
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City | COMPTON
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State | CA
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Zip | 90220-3085
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Country | US
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Telephone | 310-637-1010
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Fax | 310-637-1414
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Provider Business Mailing Address
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Address Line | PO BOX 4436
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City | CERRITOS
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State | CA
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Zip | 90703-4436
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Country | US
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Telephone | 310-637-1010
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. LETHE WARD
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Credential | M.A. CCCSP 6069
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Telephone | 213-804-2516
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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 | 12003007
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License Number State | CA
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