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General NPI Number Information
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NPI Number | 1922668706
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Entity Type | Organization
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Legal Business Name | RABLS INC
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Dates
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Enumeration Date | 06/14/2019
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Last Update Date | 06/14/2019
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Provider Practice Location Address
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Address Line | 8670 W CHEYENNE AVE STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89129-7457
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Country | US
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Telephone | 725-202-1497
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Fax | 725-202-1500
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Provider Business Mailing Address
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Address Line | 400 W VENTURA BLVD STE 150
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City | CAMARILLO
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State | CA
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Zip | 93010-9140
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Country | US
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Telephone | 804-383-1497
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Fax | 805-383-1498
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | LINDSAY DETRING
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Credential |
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Telephone | 805-383-1497
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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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