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General NPI Number Information
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NPI Number | 1376384826
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Entity Type | Individual
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Provider Name | MACKENZIE ANNE BECKER OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 17800 TALBOT RD S STE D
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City | RENTON
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State | WA
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Zip | 98055-5740
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Country | US
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Telephone | 425-277-9096
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 BUTTERFIELD RD STE 1600
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1211
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Country | US
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Telephone | 866-370-8206
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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 | OT.0008450
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License Number State | CO
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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 |
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License Number State |
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