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General NPI Number Information
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NPI Number | 1346706587
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Entity Type | Individual
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Provider Name | ANA S MAGALLANES M.S.
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Gender | Female
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 33303 SE 124TH ST
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City | ISSAQUAH
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State | WA
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Zip | 98027-8741
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Country | US
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Telephone | 206-799-7831
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Fax |
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Provider Business Mailing Address
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Address Line | 300 S 55TH ST APT B101
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City | RENTON
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State | WA
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Zip | 98055-7910
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Country | US
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Telephone | 562-293-8846
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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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 | 61339531
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License Number State | WA
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