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NPI 1891281515

NPI 1891281515 : NATTERINGS SPEECH & LANGUAGE PATHOLOGY, INC : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1891281515
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    Entity Type          |    Organization 
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    Legal Business Name  |    NATTERINGS SPEECH & LANGUAGE PATHOLOGY, INC 
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Dates
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    Enumeration Date     |    07/05/2018
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    Last Update Date     |    06/24/2020
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Provider Practice Location Address
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    Address Line         |    3400 W 6TH ST STE 210 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90020-2576
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    Country              |    US
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    Telephone            |    310-347-5812
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    355 S MANSFIELD AVE 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90036-3058
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    Country              |    US
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    Telephone            |    213-503-4878
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    Fax                  |    
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Authorized Official
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    Title or Position    |    COO
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    Name                 |     DA  CHO 
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    Credential           |    
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    Telephone            |    213-503-4878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    17475
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    2355S0801X
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    Taxonomy Name        |    Speech-Language Assistant
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    License Number       |    3981
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    License Number State |    CA
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Taxonomy #5
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    Taxonomy Code        |    2355S0801X
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    Taxonomy Name        |    Speech-Language Assistant
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    License Number       |    895
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    License Number State |    CA
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Taxonomy #6
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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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Taxonomy #7
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    21264
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    License Number State |    CA
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