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General NPI Number Information
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NPI Number | 1386710358
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE OT, PLLC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11520 25TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98125-5218
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Country | US
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Telephone | 206-368-7897
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 75162
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City | SEATTLE
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State | WA
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Zip | 98175-0162
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Country | US
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Telephone | 206-368-7897
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MS. SHERRI JEAN STAIR
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Credential | O.T.R.
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Telephone | 206-368-7897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | OT00000806
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License Number State | WA
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