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General NPI Number Information
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NPI Number | 1144327438
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Entity Type | Individual
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Provider Name | MARIA MERCEDES GROSS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1660 S COLUMBIAN WAY MAILSTOP 117-RCS-S
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City | SEATTLE
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State | WA
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Zip | 98108-1532
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Country | US
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Telephone | 206-277-1952
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Fax |
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Provider Business Mailing Address
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Address Line | 8820 SE 60TH ST
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City | MERCER ISLAND
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State | WA
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Zip | 98040-4504
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Country | US
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Telephone | 206-230-0317
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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 | OT00001986
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License Number State | WA
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