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General NPI Number Information
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NPI Number | 1982889499
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Entity Type | Organization
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Legal Business Name | MOBILE THERAPY AND CONSULTING
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 300 LANTERN CREST WAY
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City | SANTEE
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State | CA
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Zip | 92071-4775
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Country | US
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Telephone | 858-229-6666
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Fax | 877-292-8360
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Provider Business Mailing Address
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Address Line | PO BOX N
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City | DEL MAR
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State | CA
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Zip | 92014-0376
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Country | US
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Telephone | 858-229-8666
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Fax | 877-292-8360
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Authorized Official
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Title or Position | PARTNER
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Name | MS. SANDRA MARIE SABONJIAN
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Credential | M.A., CCC-SLP
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Telephone | 858-229-8666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT4969
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP9821
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT29711
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License Number State | CA
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