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General NPI Number Information
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NPI Number | 1902307408
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Entity Type | Individual
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Provider Name | CLAUDIA JINES SLPA
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Gender | Female
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Dates
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Enumeration Date | 02/21/2018
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Last Update Date | 02/21/2018
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Provider Practice Location Address
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Address Line | 555 W COMPTON BLVD STE 106
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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 |
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Provider Business Mailing Address
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Address Line | 1928 LOGANSIDE DR
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City | LOS ANGELES
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State | CA
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Zip | 90047-5142
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Country | US
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Telephone | 310-703-7103
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 2484
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License Number State | CA
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