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General NPI Number Information
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NPI Number | 1093321069
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Entity Type | Individual
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Provider Name | HANNAH JOY TERRANOVA OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 9951 MICKELBERRY RD NW STE 123
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City | SILVERDALE
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State | WA
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Zip | 98383-8309
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Country | US
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Telephone | 360-286-2351
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Fax | 360-516-6786
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Provider Business Mailing Address
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Address Line | 7560 TRICA AVE NE
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City | BREMERTON
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State | WA
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Zip | 98311-4059
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Country | US
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Telephone | 815-289-8974
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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 | 61043935
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License Number State | WA
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