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General NPI Number Information
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NPI Number | 1154814622
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Entity Type | Organization
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Legal Business Name | HARBOR VIEW SPEECH LLC
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Dates
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Enumeration Date | 06/10/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 599 HIGH HARO DR
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250-8843
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Country | US
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Telephone | 972-672-8692
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Fax |
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Provider Business Mailing Address
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Address Line | 685 SPRING ST # 146
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250-8058
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Country | US
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Telephone | 972-672-8692
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KARAN E HANNAH
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Credential |
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Telephone | 972-672-8692
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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 | LL60761788
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License Number State | WA
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