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General NPI Number Information
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NPI Number | 1396199196
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Entity Type | Organization
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Legal Business Name | SPEECH THERAPY TACOMA, PLLC
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 6310 9TH STREET CT NE
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City | TACOMA
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State | WA
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Zip | 98422-3841
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Country | US
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Telephone | 206-512-8000
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Fax | 360-326-9577
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Provider Business Mailing Address
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Address Line | 6310 9TH STREET CT NE
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City | TACOMA
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State | WA
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Zip | 98422-3841
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Country | US
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Telephone | 206-512-8000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHERRI ROBIN DRUMMOND
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Credential | MA, CCC-SLP
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Telephone | 206-512-5800
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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 | LL00004656
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License Number State | WA
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