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General NPI Number Information
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NPI Number | 1871240226
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Entity Type | Organization
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Legal Business Name | DYNAMIC SPEECH & LANGUAGE THERAPY, LLC
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Dates
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Enumeration Date | 03/06/2022
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 1900 BELMONT LOOP
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City | WOODLAND
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State | WA
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Zip | 98674-8475
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Country | US
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Telephone | 360-841-8096
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Fax | 360-326-1599
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Provider Business Mailing Address
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Address Line | 647 GUN CLUB RD
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City | WOODLAND
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State | WA
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Zip | 98674
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Country | US
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Telephone | 360-601-4658
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Fax | 360-326-1599
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTY M BISCONER
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Credential | MS, CCC-SLP
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Telephone | 360-601-4658
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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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