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General NPI Number Information
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NPI Number | 1255682878
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Entity Type | Organization
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Legal Business Name | ISSAQUAH SCHOOL DISTRICT
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Dates
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Enumeration Date | 09/21/2012
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Last Update Date | 09/21/2012
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Provider Practice Location Address
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Address Line | 2300 228TH AVE SE
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City | SAMMAMISH
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State | WA
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Zip | 98075-9514
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Country | US
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Telephone | 425-837-4079
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 228TH AVE SE
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City | SAMMAMISH
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State | WA
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Zip | 98075-9514
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MS. DONNA BURNS
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Credential |
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Telephone | 425-837-4079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | OT00001721
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License Number State | WA
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