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General NPI Number Information
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NPI Number | 1366103640
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Entity Type | Organization
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Legal Business Name | TELLO-CORDON, PLLC
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 14353 27TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98125-3431
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Country | US
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Telephone | 954-937-1846
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Fax |
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Provider Business Mailing Address
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Address Line | 14353 27TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98125-3431
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALINA TELLO-CORDON
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Credential |
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Telephone | 954-937-1846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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