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General NPI Number Information
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NPI Number | 1972581163
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Entity Type | Individual
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Provider Name | MS. PATRICIA M. EHLERS
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Gender | Female
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 04/26/2017
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Provider Practice Location Address
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Address Line | 1010 WASHINGTON ST #280
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City | VANCOUVER
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State | WA
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Zip | 98660-3167
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Country | US
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Telephone | 360-699-6374
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Fax | 360-571-8272
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Provider Business Mailing Address
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Address Line | 2603 NE 136TH ST
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City | VANCOUVER
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State | WA
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Zip | 98686-2756
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Country | US
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Telephone | 360-573-9854
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Fax | 360-571-8272
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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 | LL00001183
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License Number State | WA
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