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General NPI Number Information
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NPI Number | 1609269562
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Entity Type | Individual
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Provider Name | ASHLEY PROKOPIAK OTR/L, CHT
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Gender | Female
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Dates
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Enumeration Date | 03/16/2015
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431-0001
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Country | US
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Telephone | 532-967-0898
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Fax |
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Provider Business Mailing Address
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Address Line | 7813 24TH CT SE
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City | LACEY
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State | WA
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Zip | 98503-3305
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Country | US
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Telephone | 678-877-4851
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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 | 3326
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License Number State | NM
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