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General NPI Number Information
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NPI Number | 1912841602
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Entity Type | Individual
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Provider Name | EMILY EDSON M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 501 N CRESCENT WAY
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City | ANAHEIM
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State | CA
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Zip | 92801-5401
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Country | US
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Telephone | 714-220-4051
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Fax |
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Provider Business Mailing Address
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Address Line | 13204 MYFORD RD APT 950
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City | TUSTIN
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State | CA
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Zip | 92782-9120
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Country | US
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Telephone | 925-437-4778
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 31176
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License Number State | CA
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