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General NPI Number Information
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NPI Number | 1952665796
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Entity Type | Organization
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Legal Business Name | LOOK WHO'S TALKING, PLLC
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Dates
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Enumeration Date | 06/26/2012
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Last Update Date | 06/26/2012
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Provider Practice Location Address
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Address Line | 22665 S 194TH WAY
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-8970
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Country | US
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Telephone | 480-390-8746
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Fax | 480-279-3518
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Provider Business Mailing Address
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Address Line | 22665 S 194TH WAY
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-8970
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Country | US
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Telephone | 480-390-8746
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Fax | 480-279-3518
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST, SOLE PROPRIETOR
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Name | TIFFANY ROBLEDO
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Credential | M.S., CCC-SLP
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Telephone | 480-390-8746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | SLP6212
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | SLP6212
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | SLP6212
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License Number State | AZ
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