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General NPI Number Information
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NPI Number | 1144888108
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Entity Type | Organization
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Legal Business Name | MANSI DALAL OTD OTR-L PLLC
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 626 120TH AVE NE STE B100
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City | BELLEVUE
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State | WA
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Zip | 98005-3021
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Country | US
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Telephone | 323-336-1991
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Fax | 425-615-7779
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Provider Business Mailing Address
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Address Line | 626 120TH AVE NE STE B100
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City | BELLEVUE
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State | WA
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Zip | 98005-3021
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Country | US
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Telephone | 323-336-1991
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Fax | 425-615-7779
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Authorized Official
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Title or Position | PRESIDENT
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Name | MANSI DALAL
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Credential | OTD OTR/L
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Telephone | 323-336-1991
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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