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General NPI Number Information
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NPI Number | 1396331476
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Entity Type | Organization
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Legal Business Name | LANGUAGE AND LITERACY THERAPY PLLC
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Dates
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Enumeration Date | 12/14/2020
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 4509 TALBOT RD S STE 105C
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City | RENTON
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State | WA
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Zip | 98055-6294
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Country | US
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Telephone | 425-521-9024
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Fax | 425-529-9211
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Provider Business Mailing Address
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Address Line | 19819 SE 206TH ST
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-6405
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Country | US
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Telephone | 530-333-3343
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Fax |
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Authorized Official
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Title or Position | OWNER/ SPEECH LANGUAGE PATHOLOGIST
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Name | DR. RACHEL E CHAO
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Credential | ED.D., CCC-SLP
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Telephone | 425-521-9024
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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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