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General NPI Number Information
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NPI Number | 1164347753
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Entity Type | Individual
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Provider Name | AUNGINIQUE DONITA REDDING
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Gender | Female
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 9307 BRIDGEPORT WAY SW
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City | LAKEWOOD
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State | WA
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Zip | 98499
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Country | US
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Telephone | 253-201-1234
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Fax | 253-235-4201
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Provider Business Mailing Address
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Address Line | 5830 S ALASKA ST
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City | TACOMA
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State | WA
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Zip | 98408-1311
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Country | US
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Telephone | 619-379-0748
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Fax | 253-235-4201
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 70036973
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License Number State | WA
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