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General NPI Number Information
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NPI Number | 1245768225
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Entity Type | Individual
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Provider Name | NOELLE URSULA PINGREE M.S. SLP-CF
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Gender | Female
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Dates
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Enumeration Date | 06/02/2017
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 16250 NE 74TH ST
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City | REDMOND
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State | WA
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Zip | 98052-7817
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Country | US
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Telephone | 425-936-2761
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Fax |
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Provider Business Mailing Address
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Address Line | 6601 116TH AVE NE
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City | KIRKLAND
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State | WA
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Zip | 98033-8404
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Country | US
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Telephone | 206-571-5783
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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 | 60861353
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License Number State | WA
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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 | SI60760504
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License Number State | WA
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