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General NPI Number Information
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NPI Number | 1982528683
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Entity Type | Organization
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Legal Business Name | OAK GROVE SPEECH THERAPY ASSOCIATES
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 80 S LAKE AVE STE 655
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City | PASADENA
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State | CA
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Zip | 91101-2594
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Country | US
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Telephone | 323-739-8119
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Fax |
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Provider Business Mailing Address
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Address Line | 1470 LINDA VISTA AVE
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City | PASADENA
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State | CA
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Zip | 91103-1951
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | AMY ONDERDONK
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Credential | MS, CCC-SLP, CLES
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Telephone | 323-739-8119
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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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