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General NPI Number Information
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NPI Number | 1447598131
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Entity Type | Individual
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Provider Name | CHRISTINA CATHERINE WEEKS
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Gender | Female
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Dates
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Enumeration Date | 01/30/2013
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Last Update Date | 01/30/2013
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Provider Practice Location Address
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Address Line | 1301 BRIDGEVIEW DR
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City | LYNDEN
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State | WA
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Zip | 98264-9355
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Country | US
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Telephone | 360-354-0488
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Fax |
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Provider Business Mailing Address
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Address Line | 4413 MARIONBERRY CT
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City | BELLINGHAM
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State | WA
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Zip | 98229-2809
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Country | US
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Telephone | 360-398-7288
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SP60214524
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License Number State | WA
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