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General NPI Number Information
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NPI Number | 1366131328
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Entity Type | Organization
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Legal Business Name | EXPRESS YOURSELF, LLC
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Dates
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Enumeration Date | 05/04/2023
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 1421 STORM KING AVE SW
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City | OCEAN SHORES
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State | WA
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Zip | 98569-9638
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Country | US
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Telephone | 360-751-7131
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Fax |
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Provider Business Mailing Address
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Address Line | 1421 STORM KING AVE SW
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City | OCEAN SHORES
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State | WA
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Zip | 98569-9638
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Country | US
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Telephone | 360-751-7131
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | DENISE RENEE ASLIN
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Credential |
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Telephone | 360-751-7131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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