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General NPI Number Information
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NPI Number | 1669850491
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Entity Type | Individual
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Provider Name | SEONG EUN KIM OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/13/2015
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 3901 CAPITAL MALL DR SW STE D
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City | OLYMPIA
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State | WA
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Zip | 98502-8654
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Country | US
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Telephone | 360-709-6221
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Fax | 360-359-4727
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Provider Business Mailing Address
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Address Line | 3901 CAPITAL MALL DR SW STE D
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City | OLYMPIA
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State | WA
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Zip | 98502-8654
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Country | US
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Telephone | 360-709-6221
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Fax | 360-359-4727
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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 | 056-011077
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT61653859
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License Number State | WA
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