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General NPI Number Information
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NPI Number | 1790945681
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Entity Type | Individual
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Provider Name | JOANNA RASMUSSEN M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 02/15/2010
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Provider Practice Location Address
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Address Line | 2121 NE 139TH ST BUILDING A, SUITE #200
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City | VANCOUVER
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State | WA
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Zip | 98686-2316
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Country | US
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Telephone | 360-487-1780
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Fax | 360-487-1779
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Provider Business Mailing Address
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Address Line | 11510 NW 29TH PL
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City | VANCOUVER
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State | WA
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Zip | 98685-3485
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Country | US
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Telephone | 360-831-2706
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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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