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General NPI Number Information
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NPI Number | 1699157206
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Entity Type | Organization
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Legal Business Name | STEPPING STONES SPECH AND LANGUAGE THERAPY, LLC
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Dates
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Enumeration Date | 06/19/2015
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Last Update Date | 06/19/2015
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Provider Practice Location Address
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Address Line | 310 N MERIDIAN STE 208
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City | PUYALLUP
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State | WA
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Zip | 98371-8644
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Country | US
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Telephone | 253-353-5334
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Fax |
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Provider Business Mailing Address
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Address Line | 20521 BONANZA DR E
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City | BONNEY LAKE
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State | WA
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Zip | 98391-7916
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Country | US
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Telephone | 253-353-5334
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LAUREN CHOI
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Credential |
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Telephone | 253-353-5334
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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 | LL60099194
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License Number State | WA
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