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General NPI Number Information
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NPI Number | 1013393990
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Entity Type | Individual
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Provider Name | ANGELA CURTIS M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 02/07/2019
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Provider Practice Location Address
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Address Line | 9040 JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431-3152
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Country | US
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Telephone | 253-968-7919
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 797
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City | DUPONT
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State | WA
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Zip | 98327-0797
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Country | US
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Telephone | 281-543-4150
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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 | LL60012445
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License Number State | WA
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