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NPI 1306460027

NPI 1306460027 : SHEREEN LAU OTR/L : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1306460027
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    Entity Type          |    Individual 
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    Provider Name        |    SHEREEN LAU OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/29/2020
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    Last Update Date     |    09/29/2022
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Provider Practice Location Address
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    Address Line         |    201 16TH AVE E 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98112-5226
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    Country              |    US
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    Telephone            |    206-326-3000
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    Fax                  |    206-326-2785
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Provider Business Mailing Address
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    Address Line         |    2001 SOLAR DR STE 150 
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    City                 |    OXNARD
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    State                |    CA
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    Zip                  |    93036-0680
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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    |    
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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       |    21109
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    License Number State |    CA
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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       |    OT61291564
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    License Number State |    WA
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