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General NPI Number Information
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NPI Number | 1649131319
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Entity Type | Individual
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Provider Name | CAROLINE VAN DALMACIO
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Gender | Female
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 300 SW 7TH ST
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City | RENTON
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State | WA
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Zip | 98057-2307
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Country | US
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Telephone | 425-204-2365
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Fax |
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Provider Business Mailing Address
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Address Line | 127 22ND AVE E UNIT D
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City | SEATTLE
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State | WA
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Zip | 98112-6310
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Country | US
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Telephone | 206-858-3833
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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 |
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License Number State |
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