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General NPI Number Information
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NPI Number | 1316383177
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Entity Type | Individual
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Provider Name | KATHLEEN MARIE BRANCH OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 2445 3RD AVE S
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City | SEATTLE
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State | WA
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Zip | 98134-1923
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Country | US
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Telephone | 310-435-4420
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Fax |
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Provider Business Mailing Address
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Address Line | 2202 179TH ST SE
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City | BOTHELL
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State | WA
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Zip | 98012-6557
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Country | US
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Telephone | 310-435-4420
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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 | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number | 14853
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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 | 60574382
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License Number State | WA
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