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General NPI Number Information
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NPI Number | 1104154566
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Entity Type | Individual
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Provider Name | AMY THOMSEN RAWLINGS
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Gender | Female
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 250 EAST CHASE AVENUE SUITE 107
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City | EL CAJON
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State | CA
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Zip | 92020-9202
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Country | US
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Telephone | 619-334-6548
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Fax |
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Provider Business Mailing Address
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Address Line | 4671 DEL MONTE AVE
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City | SAN DIEGO
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State | CA
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Zip | 92107-3510
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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 |
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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 | SP15468
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License Number State | CA
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