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General NPI Number Information
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NPI Number | 1588916050
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Entity Type | Organization
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Legal Business Name | TACOMA PUBLIC SCHOOLS
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Dates
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Enumeration Date | 10/09/2012
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 2502 N ORCHARD ST
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City | TACOMA
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State | WA
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Zip | 98406-3448
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Country | US
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Telephone | 253-571-7149
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Fax |
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Provider Business Mailing Address
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Address Line | 601 S 8TH ST
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City | TACOMA
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State | WA
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Zip | 98401-1357
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | ANN HOPPEN
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Credential |
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Telephone | 253-571-7149
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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 | 00000248
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License Number State | WA
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