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NPI 1255798153

NPI 1255798153 : REBECCA CASE OT, RN : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1255798153
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    Entity Type          |    Individual 
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    Provider Name        |    REBECCA CASE OT, RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/22/2016
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    Last Update Date     |    04/14/2025
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Provider Practice Location Address
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    Address Line         |    1815 N 45TH ST STE 202 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98103-6856
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    Country              |    US
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    Telephone            |    206-752-6837
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2321 N 148TH ST APT 3405 
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    City                 |    SHORELINE
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    State                |    WA
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    Zip                  |    98133-6775
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    Country              |    US
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    Telephone            |    406-360-9670
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    Fax                  |    877-874-1031
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    205642
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    OT61543821
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    License Number State |    WA
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