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General NPI Number Information
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NPI Number | 1699659938
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Entity Type | Organization
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Legal Business Name | EVERGREEN AUDIOLOGY GAMING
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 16209 SE MCGILLIVRAY BLVD STE M
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City | VANCOUVER
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State | WA
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Zip | 98683-9034
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Country | US
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Telephone | 360-506-2237
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Fax | 360-213-2044
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Provider Business Mailing Address
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Address Line | 522 W RIVERSIDE AVE STE N
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City | SPOKANE
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State | WA
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Zip | 99201-0581
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Country | US
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Telephone | 360-506-2237
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Fax | 360-213-2044
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. CHRISTOPHER LAWSON
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Credential | AUD
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Telephone | 360-506-2237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA3000X
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Taxonomy Name | Augmentative Communication Clinic/Center
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License Number |
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License Number State |
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