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General NPI Number Information
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NPI Number | 1407414428
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Entity Type | Organization
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Legal Business Name | SEEDLING SPEECH & LANGUAGE, LLC
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 10303 NE WEIDLER ST
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City | PORTLAND
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State | OR
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Zip | 97220-3882
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Country | US
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Telephone | 503-660-3231
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Fax | 503-893-3083
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Provider Business Mailing Address
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Address Line | PO BOX 14081
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City | PORTLAND
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State | OR
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Zip | 97293-0081
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Country | US
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Telephone | 503-660-3231
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Fax | 503-893-3083
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Authorized Official
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Title or Position | OWNER/SPEECH-LANGUAGE PATHOLOGIST
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Name | BRIGID MARIE-CROTTY PICCOLOTTI
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Credential | MS, CCC-SLP
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Telephone | 503-660-3231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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