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General NPI Number Information
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NPI Number | 1104374313
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Entity Type | Individual
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Provider Name | CHRISTINA BROWN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/16/2016
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Last Update Date | 09/16/2016
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Provider Practice Location Address
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Address Line | 325 9TH AVE BOX 359827
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City | SEATTLE
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State | WA
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Zip | 98104-2420
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Country | US
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Telephone | 266-744-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2402 7TH AVE W APT #4
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City | SEATTLE
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State | WA
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Zip | 98119-2502
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Country | US
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Telephone | 412-477-3051
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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 | OT60688624
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License Number State | WA
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