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General NPI Number Information
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NPI Number | 1427263177
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Entity Type | Individual
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Provider Name | KRISTEN MARIE JASLOWICH OTR-L
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 107A MOORE ST
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City | SANTA FE
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State | NM
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Zip | 87501-1733
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Country | US
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Telephone | 206-427-0411
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Fax |
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Provider Business Mailing Address
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Address Line | 107A MOORE ST
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City | SANTA FE
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State | NM
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Zip | 87501-1733
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Country | US
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Telephone | 206-427-0411
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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 | OT00004325
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License Number State | WA
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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 | 2884
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 072-0000335
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License Number State | VT
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