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General NPI Number Information
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NPI Number | 1275192171
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Entity Type | Individual
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Provider Name | CHRISTINA HOERNER M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2019
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Last Update Date | 06/13/2019
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Provider Practice Location Address
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Address Line | 1915 N 22ND AVE
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City | PASCO
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State | WA
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Zip | 99301-3341
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Country | US
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Telephone | 509-543-6795
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Fax |
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Provider Business Mailing Address
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Address Line | 10251 RIDGELINE DR APT C218
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City | KENNEWICK
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State | WA
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Zip | 99338-2430
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Country | US
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Telephone | 509-263-5647
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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 | 60900952
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License Number State | WA
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