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General NPI Number Information
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NPI Number | 1528514858
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Entity Type | Individual
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Provider Name | PAZ DIAZ-WILLIAMS PHD., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98433
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Country | US
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Telephone | 253-968-2252
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Fax |
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Provider Business Mailing Address
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Address Line | 6693 JACKSON AVE JOINT BASE LEWIS-MCCHORD
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City | TACOMA
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State | WA
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Zip | 98433
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Country | US
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Telephone | 253-968-7918
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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 | 14089589
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License Number State | TX
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