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General NPI Number Information
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NPI Number | 1497936348
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Entity Type | Individual
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Provider Name | PATRICK PODRAZIK
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Gender | Male
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 01/30/2014
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Provider Practice Location Address
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Address Line | 1301 NTH HIGHLANDS PARKWAY
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City | TACOMA
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State | WA
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Zip | 98406-3226
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Country | US
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Telephone | 253-752-7112
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Fax |
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Provider Business Mailing Address
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Address Line | 4301 NTH 25TH STREET
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City | TACOMA
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State | WA
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Zip | 98406
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Country | US
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Telephone | 602-393-8292
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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 | SLP5706
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License Number State | AZ
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Taxonomy #2
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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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