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General NPI Number Information
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NPI Number | 1508928755
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Entity Type | Individual
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Provider Name | SOMMER NICOLE PREWITT MOT, OTR
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4122 FACTORIA BLVD SE SUITE 300
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City | BELLEVUE
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State | WA
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Zip | 98006-4200
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Country | US
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Telephone | 425-746-2209
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Fax | 425-484-4130
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Provider Business Mailing Address
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Address Line | 2309 BOYLSTON AVE E APT 302
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City | SEATTLE
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State | WA
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Zip | 98102-3381
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Country | US
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Telephone | 206-799-9375
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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 | OT00003847
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License Number State | WA
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