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General NPI Number Information
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NPI Number | 1154891117
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Entity Type | Individual
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Provider Name | DOROTA BOZENA BARTON CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/03/2018
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Last Update Date | 02/18/2019
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Provider Practice Location Address
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Address Line | 2121 NE 139TH STREET MOB A, SUITE 200
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City | VANCOUVER
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State | WA
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Zip | 98686
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Country | US
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Telephone | 360-487-1785
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2077
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City | PORTLAND
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State | OR
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Zip | 97208-2077
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Country | US
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Telephone | 503-413-3900
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Fax | 503-413-3710
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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 | 23145
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License Number State | CA
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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 | LL60919522
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License Number State | WA
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