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General NPI Number Information
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NPI Number | 1992582654
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Entity Type | Individual
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Provider Name | ALLISON MEHGAN DIAZ
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Gender | Female
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 600 N JAMES AVE
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City | EAST WENATCHEE
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State | WA
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Zip | 98802-4629
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Country | US
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Telephone | 509-884-7115
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Fax |
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Provider Business Mailing Address
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Address Line | 2272 S NEVADA CT APT H232
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City | EAST WENATCHEE
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State | WA
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Zip | 98802-5952
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Country | US
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Telephone | 509-570-6403
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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