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General NPI Number Information
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NPI Number | 1255470183
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Entity Type | Individual
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Provider Name | LISA A MARFA S.T.
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 4301 S PINE ST STE 219
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City | TACOMA
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State | WA
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Zip | 98409-7264
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Country | US
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Telephone | 253-476-6500
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Fax | 253-476-6551
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Provider Business Mailing Address
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Address Line | PO BOX 34584
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City | SEATTLE
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State | WA
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Zip | 98124-1584
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Country | US
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Telephone | 509-241-7349
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Fax | 509-241-7628
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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 | LL00003160
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License Number State | WA
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