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General NPI Number Information
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NPI Number | 1144102856
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Entity Type | Individual
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Provider Name | SELENA PERMYASHKIN M.A., CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 412 1ST ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-1804
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Country | US
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Telephone | 202-470-4185
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Fax |
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Provider Business Mailing Address
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Address Line | 412 1ST ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-1804
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Country | US
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Telephone | 202-470-4185
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLPCF2000184
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License Number State | DC
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