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General NPI Number Information
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NPI Number | 1669982625
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Entity Type | Individual
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Provider Name | ERIKA INGRID HENDRON MENNINGER OTD, ORT/L
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Gender | Female
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Dates
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Enumeration Date | 10/04/2017
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 9450 ETHAN WADE WAY SE
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City | SNOQUALMIE
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State | WA
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Zip | 98065-9520
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Country | US
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Telephone | 425-831-8050
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Fax |
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Provider Business Mailing Address
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Address Line | 18302 NE 107TH ST
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City | REDMOND
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State | WA
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Zip | 98052-2863
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Country | US
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Telephone | 425-736-4558
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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 |
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License Number State |
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