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General NPI Number Information
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NPI Number | 1649890666
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Entity Type | Individual
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Provider Name | CHERYL D THOMPSON M.S. CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 04/20/2020
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Last Update Date | 04/20/2020
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Provider Practice Location Address
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Address Line | 10349 WILLAMETTE MERIDIAN RD NW
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City | SILVERDALE
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State | WA
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Zip | 98383-7373
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Country | US
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Telephone | 360-633-5835
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2195
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City | SILVERDALE
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State | WA
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Zip | 98383-2195
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Country | US
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Telephone | 360-633-5835
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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 | LL00002979
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License Number State | WA
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