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General NPI Number Information
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NPI Number | 1972370674
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Entity Type | Individual
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Provider Name | STACY BIELECKI MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/04/2023
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 4801 IDAHO ST
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City | VANCOUVER
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State | WA
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Zip | 98661-6327
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Country | US
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Telephone | 360-313-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 9215 NE 163RD AVE
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City | VANCOUVER
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State | WA
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Zip | 98682-0732
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Country | US
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Telephone | 360-852-3082
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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 | 24429412
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 617193H
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License Number State | WA
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