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General NPI Number Information
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NPI Number | 1629016720
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Entity Type | Individual
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Provider Name | JAMIE MAKI THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4601 NE 77TH AVE SUITE 380
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City | VANCOUVER
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State | WA
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Zip | 98662-6729
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Country | US
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Telephone | 360-514-9271
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Fax | 360-397-0777
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Provider Business Mailing Address
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Address Line | PO BOX 845
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City | POLSON
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State | MT
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Zip | 59860-0845
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Country | US
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Telephone | 406-370-0223
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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 | 860
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License Number State | MT
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