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General NPI Number Information
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NPI Number | 1497241160
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Entity Type | Individual
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Provider Name | YVONNE M ZORETIC OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/06/2018
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Last Update Date | 07/06/2018
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Provider Practice Location Address
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Address Line | 411 HOSPITAL WAY
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City | BREWSTER
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State | WA
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Zip | 98812
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Country | US
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Telephone | 509-689-4301
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Fax | 509-689-4307
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Provider Business Mailing Address
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Address Line | PO BOX 769
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City | BREWSTER
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State | WA
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Zip | 98812-0769
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Country | US
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Telephone | 509-689-4301
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Fax | 509-689-4307
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | OT00003050
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License Number State | WA
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