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General NPI Number Information
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NPI Number | 1083033021
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Entity Type | Individual
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Provider Name | JAMES T HERMIZ OT
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Gender | Male
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 601 BROADWAY STE 600
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City | SEATTLE
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State | WA
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Zip | 98122-5330
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Country | US
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Telephone | 206-386-6171
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Fax | 206-860-6694
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Provider Business Mailing Address
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Address Line | 9720 4TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98115-2143
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Country | US
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Telephone | 206-302-1200
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Fax | 877-516-8135
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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 | OT61084126
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License Number State | WA
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