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General NPI Number Information
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NPI Number | 1356163265
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Entity Type | Individual
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Provider Name | ASHLEY LAYNE
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Gender | Female
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 5149 S GRAHAM ST
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City | SEATTLE
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State | WA
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Zip | 98118-2938
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Country | US
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Telephone | 206-252-7140
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Fax |
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Provider Business Mailing Address
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Address Line | 6512 4TH AVE NE # B
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City | SEATTLE
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State | WA
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Zip | 98115-6417
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Country | US
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Telephone | 704-747-7967
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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 | OT61611939
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License Number State | WA
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