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General NPI Number Information
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NPI Number | 1972087245
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Entity Type | Individual
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Provider Name | SADIE MADJIDI CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/21/2018
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 10293 BLOOMFIELD ST
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-2264
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Country | US
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Telephone | 562-799-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 3523 W 226TH ST
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City | TORRANCE
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State | CA
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Zip | 90505-2625
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Country | US
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Telephone | 310-383-1516
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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 |
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License Number State |
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