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General NPI Number Information
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NPI Number | 1871920579
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Entity Type | Organization
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Legal Business Name | PASCO SCHOOL DISTRICT
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Dates
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Enumeration Date | 09/26/2013
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Last Update Date | 09/26/2013
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Provider Practice Location Address
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Address Line | 1102 N 10TH AVE
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City | PASCO
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State | WA
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Zip | 99301-4168
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Country | US
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Telephone | 509-547-2474
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Fax |
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Provider Business Mailing Address
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Address Line | 1215 W LEWIS ST
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City | PASCO
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State | WA
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Zip | 99301-5472
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF SPECIALIZED SERVICES
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Name | TRACY WILSON
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Credential |
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Telephone | 509-543-6703
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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 | 235Z00000X
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License Number State | WA
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