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General NPI Number Information
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NPI Number | 1356597660
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Entity Type | Individual
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Provider Name | NINI C TAYET OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 6220 S ALASKA ST
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City | TACOMA
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State | WA
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Zip | 98408-1317
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Country | US
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Telephone | 253-476-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 8707 LAKE STEILACOOM POINT RD SW
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City | LAKEWOOD
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State | WA
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Zip | 98498-5937
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Country | US
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Telephone | 253-581-3522
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Fax | 253-581-2730
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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 | OT00001410
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License Number State | WA
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