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General NPI Number Information
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NPI Number | 1073232229
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Entity Type | Individual
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Provider Name | JONATHAN RATH OT
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Gender | Male
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 725 9TH AVE
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City | SEATTLE
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State | WA
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Zip | 98104-2051
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Country | US
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Telephone | 206-407-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 309 E HARRISON ST APT 102
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City | SEATTLE
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State | WA
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Zip | 98102-6602
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Country | US
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Telephone | 920-284-8295
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 61255313
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License Number State | WA
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