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General NPI Number Information
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NPI Number | 1114626389
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Entity Type | Individual
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Provider Name | ALLISON ROSENBAUM MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 2820 NORTHUP WAY STE 120
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City | BELLEVUE
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State | WA
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Zip | 98004-1419
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Country | US
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Telephone | 425-803-8050
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Fax |
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Provider Business Mailing Address
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Address Line | 10626 NE 148TH ST
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City | BOTHELL
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State | WA
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Zip | 98011-4825
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Country | US
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Telephone | 281-610-4665
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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 | LL61313696
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License Number State | WA
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