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General NPI Number Information
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NPI Number | 1124026430
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Entity Type | Individual
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Provider Name | EILEEN BLEAKNEY FREED MA
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Gender | Female
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 457 SW 148TH ST STE 101
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City | BURIEN
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State | WA
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Zip | 98166-1975
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Country | US
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Telephone | 206-246-8677
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Fax | 206-431-2922
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Provider Business Mailing Address
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Address Line | 457 SW 148TH ST STE 101
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City | BURIEN
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State | WA
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Zip | 98166-1975
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Country | US
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Telephone | 206-938-1409
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | LD00001464
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License Number State | WA
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