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Individual
MR. DAVID S ELAM
Active
Individual
MR. DAVID S ELAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA CCC SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP5420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0663623
CHAMPUS
CA
05
—
GSP000390
—
CA
Enumeration date
10/27/2005
Last updated
02/28/2017
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