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General NPI Number Information
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NPI Number | 1962292664
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Entity Type | Organization
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Legal Business Name | BLOOM WITH WORDS BILINGUAL SPEECH THERAPY
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 3636 N 1ST ST STE 142
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City | FRESNO
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State | CA
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Zip | 93726-6818
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Country | US
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Telephone | 559-549-7026
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Fax |
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Provider Business Mailing Address
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Address Line | 1077 N WILLOW AVE STE 105 #980
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City | CLOVIS
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State | CA
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Zip | 93611
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Country | US
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Telephone | 559-312-5228
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Fax | 209-554-7915
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Authorized Official
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Title or Position | CEO/SPEECH LANGUAGE PATHOLOGIST
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Name | CAROLINA HERNANDEZ
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Credential |
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Telephone | 559-312-5228
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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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