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General NPI Number Information
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NPI Number | 1386317014
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Entity Type | Individual
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Provider Name | HANNAH ELIZABETH WALSH M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 366 N HOLLY ST
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City | CANBY
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State | OR
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Zip | 97013-3739
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Country | US
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Telephone | 503-266-1030
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Fax |
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Provider Business Mailing Address
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Address Line | 2968 NE MODA WAY APT 613
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City | HILLSBORO
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State | OR
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Zip | 97124-7022
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Country | US
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Telephone | 503-707-2873
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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 |
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License Number State |
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