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General NPI Number Information
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NPI Number | 1891309373
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Entity Type | Individual
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Provider Name | ALEXANDRIA BRITTANY MCLEOD M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 9414 NE FOURTH PLAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98662-6109
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Country | US
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Telephone | 360-823-5169
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 SE ELLSWORTH RD APT CC327
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City | VANCOUVER
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State | WA
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Zip | 98664-6264
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Country | US
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Telephone | 570-205-5627
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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 | 61080151
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License Number State | WA
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