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General NPI Number Information
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NPI Number | 1851675284
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Entity Type | Individual
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Provider Name | ALYSSE M. MOURY AUD
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Gender | Female
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Dates
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Enumeration Date | 10/04/2011
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 1231 116TH AVE NE STE 915
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City | BELLEVUE
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State | WA
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Zip | 98004-3822
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Country | US
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Telephone | 425-454-3938
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Fax | 425-454-2568
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Provider Business Mailing Address
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Address Line | 805 MADISON ST STE 901
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City | SEATTLE
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State | WA
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Zip | 98104-1172
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Country | US
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Telephone | 206-264-8100
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | LD60213818
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number | LD60213818
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | LD60213818
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License Number State | WA
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