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General NPI Number Information
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NPI Number | 1639947849
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Entity Type | Organization
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Legal Business Name | RISING SUN THERAPY SERVICES
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 03/03/2024
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Provider Practice Location Address
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Address Line | 18947 111TH AVENUE CT E
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City | PUYALLUP
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State | WA
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Zip | 98374-6495
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Country | US
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Telephone | 509-631-9931
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Fax |
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Provider Business Mailing Address
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Address Line | 18947 111TH AVENUE CT E
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City | PUYALLUP
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State | WA
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Zip | 98374-6495
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Country | US
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Telephone | 509-631-9931
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST- OWNER
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Name | ROSAN ORTIZ ANAYA
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Credential | MS., CCC-SLP
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Telephone | 509-631-9931
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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