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General NPI Number Information
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NPI Number | 1700760055
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Entity Type | Individual
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Provider Name | ALEXIS DIANE SMITH SLP-CF
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Gender | Female
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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 | 626 120TH AVE NE STE B100
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City | BELLEVUE
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State | WA
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Zip | 98005-3021
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Country | US
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Telephone | 425-615-7771
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Fax |
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Provider Business Mailing Address
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Address Line | 6450 NE RADFORD DR APT 525
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City | SEATTLE
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State | WA
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Zip | 98115-5019
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Country | US
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Telephone | 401-829-2166
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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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