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General NPI Number Information
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NPI Number | 1962949545
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Entity Type | Individual
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Provider Name | ANDREA FLOTH
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Gender | Female
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Dates
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Enumeration Date | 01/20/2017
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Last Update Date | 01/20/2017
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Provider Practice Location Address
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Address Line | 1177 HARRINGTON AVE NE #304
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City | RENTON
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State | WA
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Zip | 98056
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Country | US
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Telephone | 253-224-8589
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Fax |
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Provider Business Mailing Address
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Address Line | 1177 HARRINGTON AVE NE APT 304
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City | RENTON
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State | WA
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Zip | 98056-3069
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Country | US
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Telephone | 253-224-8589
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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