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General NPI Number Information
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NPI Number | 1154459600
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Entity Type | Individual
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Provider Name | BRITTNEY LEA PAULSON M.A. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 01/14/2013
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Provider Practice Location Address
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Address Line | 2500 NE 65TH AVE VANCOUVER
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City | VANCOUVER
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State | WA
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Zip | 98661-6812
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Country | US
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Telephone | 360-952-3512
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Fax |
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Provider Business Mailing Address
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Address Line | 3715 NE 161ST CT VANCOUVER
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City | VANCOUVER
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State | WA
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Zip | 98682-7459
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Country | US
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Telephone | 360-907-1512
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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 | LL00004582
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License Number State | WA
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