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General NPI Number Information
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NPI Number | 1437677986
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Entity Type | Organization
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Legal Business Name | ARTFUL EXPRESSIONS SPEECH THERAPY AND VOICE TRAINING
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Dates
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Enumeration Date | 09/05/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 711 CAPITOL WAY S STE 104
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City | OLYMPIA
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State | WA
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Zip | 98501-1293
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Country | US
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Telephone | 360-219-9236
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Fax |
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Provider Business Mailing Address
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Address Line | 711 CAPITOL WAY S STE 104
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City | OLYMPIA
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State | WA
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Zip | 98501-1293
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Country | US
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Telephone | 360-219-9236
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Fax |
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Authorized Official
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Title or Position | PARTNER/ CO-OWNER
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Name | AMANDA KATHLEEN MERLIN
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Credential | MA CCC-SLP
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Telephone | 360-229-5363
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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 | 604133134
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License Number State | WA
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