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General NPI Number Information
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NPI Number | 1083714844
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Entity Type | Individual
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Provider Name | PATRICIA ROSE BREAKFIELD OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9900 VETERANS DR SW VA PSHCS AL RCS 117
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City | TACOMA
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State | WA
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Zip | 98493-0005
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Country | US
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Telephone | 253-583-1812
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 S TYLER ST
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City | TACOMA
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State | WA
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Zip | 98405-1136
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Country | US
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Telephone | 253-759-3085
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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 | OT00001520
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License Number State | WA
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