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General NPI Number Information
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NPI Number | 1447681929
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Entity Type | Individual
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Provider Name | MS. JILL EHLERS
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Gender | Female
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Dates
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Enumeration Date | 12/09/2013
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Last Update Date | 12/09/2013
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Provider Practice Location Address
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Address Line | 406 NW 85TH ST
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City | VANCOUVER
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State | WA
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Zip | 98665-7728
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Country | US
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Telephone | 503-970-6520
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 69 310 4TH ST.
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City | WOODLAND
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State | WA
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Zip | 98674
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Country | US
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Telephone | 360-225-9443
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 13619
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License Number State | OR
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