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General NPI Number Information
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NPI Number | 1053056929
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Entity Type | Individual
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Provider Name | RACHEL MIEKO KASASHIMA
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Gender | Female
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 110 2ND ST SW STE 110
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City | AUBURN
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State | WA
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Zip | 98001-5250
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Country | US
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Telephone | 253-237-3405
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Fax |
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Provider Business Mailing Address
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Address Line | 6820 COAL CREEK PKWY SE APT B-102
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City | NEWCASTLE
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State | WA
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Zip | 98059-3007
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Country | US
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Telephone | 808-286-4839
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT61303150
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License Number State | WA
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