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General NPI Number Information
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NPI Number | 1902522931
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Entity Type | Organization
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Legal Business Name | ELEVATING EXPRESSION SPEECH AND LANGUAGE PLLC
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 8512 BYBEE CT SE
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City | SNOQUALMIE
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State | WA
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Zip | 98065-9238
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Country | US
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Telephone | 206-805-9108
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Fax |
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Provider Business Mailing Address
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Address Line | 8512 BYBEE CT SE
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City | SNOQUALMIE
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State | WA
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Zip | 98065-9238
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Country | US
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Telephone | 206-805-9108
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LYNN BONKO
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Credential | CCC-SLP
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Telephone | 206-805-9108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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