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General NPI Number Information
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NPI Number | 1326208653
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Entity Type | Individual
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Provider Name | MARION JOSEF ROMAN OT
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Gender | Male
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 06/22/2012
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Provider Practice Location Address
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Address Line | 2800 S 224TH ST
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City | DES MOINES
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State | WA
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Zip | 98198-5132
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Country | US
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Telephone | 206-824-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 125 SW CAMPUS DR APARTMENT 11-105
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City | FEDERAL WAY
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State | WA
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Zip | 98023-8365
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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 | 1071680
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License Number State | OR
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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 | OT60167458
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License Number State | WA
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