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General NPI Number Information
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NPI Number | 1942967823
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Entity Type | Organization
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Legal Business Name | SO CAL SPEECH THERAPY INC
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Dates
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Enumeration Date | 11/26/2021
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 4200 CHINO HILLS PKWY STE 135-183
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City | CHINO HILLS
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State | CA
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Zip | 91709-3776
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Country | US
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Telephone | 657-246-2648
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Fax | 951-227-7191
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Provider Business Mailing Address
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Address Line | 4200 CHINO HILLS PKWY STE 135-183
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City | CHINO HILLS
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State | CA
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Zip | 91709-3776
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Country | US
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Telephone | 657-246-2648
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Fax | 951-227-7191
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | TANYA ARELLANO
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Credential | SLP
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Telephone | 657-246-2648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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