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General NPI Number Information
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NPI Number | 1497051924
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Entity Type | Individual
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Provider Name | MELINDA S BOHRER PT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 01/31/2011
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Provider Practice Location Address
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Address Line | 6300 9TH AVE NE STE 360
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City | SEATTLE
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State | WA
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Zip | 98115-8515
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Country | US
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Telephone | 206-523-6826
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Fax |
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Provider Business Mailing Address
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Address Line | 6819 17TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98115-6844
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Country | US
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Telephone | 206-525-2258
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT00003731
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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 | OT00000455
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License Number State | WA
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