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General NPI Number Information
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NPI Number | 1124904776
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Entity Type | Individual
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Provider Name | MICHELE M SCHAAB COTA/L
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Gender | Female
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 116 FAIRVIEW AVE N
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City | SEATTLE
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State | WA
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Zip | 98109-5360
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Country | US
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Telephone | 206-254-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 4227 S KENNY ST
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City | SEATTLE
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State | WA
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Zip | 98118-2721
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Country | US
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Telephone | 206-407-4211
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OC60500286
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License Number State | WA
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