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General NPI Number Information
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NPI Number | 1992664809
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Entity Type | Individual
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Provider Name | AIMEE LISSETTE PINA MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 1625 19TH AVE
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City | SEATTLE
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State | WA
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Zip | 98122-2848
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Country | US
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Telephone | 206-323-5770
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Fax |
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Provider Business Mailing Address
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Address Line | 20024 81ST AVE W
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City | EDMONDS
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State | WA
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Zip | 98026-6708
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Country | US
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Telephone | 631-790-2185
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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 | SLP.LL.70033848
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License Number State | WA
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