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General NPI Number Information
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NPI Number | 1316205446
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Entity Type | Individual
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Provider Name | GINA CATHERINE CARDILLO PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 11/06/2018
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Provider Practice Location Address
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Address Line | 16120 NE 8TH ST
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City | BELLEVUE
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State | WA
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Zip | 98008-3937
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Country | US
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Telephone | 425-747-4004
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Fax | 425-747-1069
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Provider Business Mailing Address
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Address Line | 2410 N 38TH ST
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City | SEATTLE
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State | WA
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Zip | 98103-8439
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Country | US
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Telephone | 206-790-4957
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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 | LL60570918
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License Number State | WA
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