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NPI 1962176149

NPI 1962176149 : LEAH MICHELLE HALL PRICE : IRVINE, CA

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General NPI Number Information
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    NPI Number           |    1962176149
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    Entity Type          |    Individual 
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    Provider Name        |    LEAH MICHELLE HALL PRICE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/02/2021
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    Last Update Date     |    02/05/2025
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Provider Practice Location Address
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    Address Line         |    19712 MACARTHUR BLVD STE 110 
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    City                 |    IRVINE
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    State                |    CA
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    Zip                  |    92612-2407
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    Country              |    US
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    Telephone            |    714-696-6015
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    Fax                  |    888-678-0363
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Provider Business Mailing Address
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    Address Line         |    3400 AVENUE OF THE ARTS APT G110 
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    City                 |    COSTA MESA
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    State                |    CA
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    Zip                  |    92626-1955
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    Country              |    US
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    Telephone            |    412-818-1609
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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       |    25116
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    License Number State |    CA
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