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General NPI Number Information
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NPI Number | 1154688190
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Entity Type | Individual
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Provider Name | RACHEL ERIN CHAO ED.D., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 4509 TALBOT RD S STE 105C
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City | RENTON
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State | WA
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Zip | 98055-6294
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Country | US
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Telephone | 425-521-9024
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Fax | 425-529-9211
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Provider Business Mailing Address
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Address Line | PO BOX 108
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-0108
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Country | US
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Telephone | 425-521-9024
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Fax | 425-657-0691
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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 | LL60273420
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License Number State | WA
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