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General NPI Number Information
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NPI Number | 1508981838
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Entity Type | Individual
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Provider Name | LILA JANE ZANDER O.T.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 3808 N SULLIVAN RD BLDG. # S-7
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-1608
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Country | US
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Telephone | 509-924-2850
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Fax | 509-891-8005
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Provider Business Mailing Address
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Address Line | 4605 N HARVARD RD
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City | OTIS ORCHARDS
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State | WA
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Zip | 99027-9373
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Country | US
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Telephone | 509-924-2805
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Fax | 509-891-8005
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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 | OT00004001
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License Number State | WA
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