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General NPI Number Information
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NPI Number | 1497023923
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Entity Type | Individual
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Provider Name | MEGAN ADAIR SIEFKES MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 12/12/2011
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Provider Practice Location Address
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Address Line | 1045 S 308TH ST
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City | FEDERAL WAY
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State | WA
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Zip | 98003-4706
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Country | US
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Telephone | 206-920-1159
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 MELROSE AVE APT 101
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City | SEATTLE
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State | WA
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Zip | 98122-2053
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Country | US
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Telephone | 605-864-8962
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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 60215506
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License Number State | WA
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