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General NPI Number Information
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NPI Number | 1235395252
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Entity Type | Individual
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Provider Name | JENNIFER RENEE ALLEN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 620 SE 168TH AVE APT 91
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City | VANCOUVER
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State | WA
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Zip | 98684-8431
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Country | US
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Telephone | 503-781-4462
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Fax |
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Provider Business Mailing Address
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Address Line | 620 SE 168TH AVE APT 91
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City | VANCOUVER
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State | WA
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Zip | 98684-8431
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Country | US
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Telephone | 503-781-4462
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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 | 00004145
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 1005244
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 00004145
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License Number State | WA
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