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General NPI Number Information
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NPI Number | 1699129585
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD OCCUPATIONAL THERAPY FOR CHILDREN
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 04/18/2016
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Provider Practice Location Address
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Address Line | 2116 S 277TH PL
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6954
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Country | US
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Telephone | 253-797-9784
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Fax |
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Provider Business Mailing Address
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Address Line | 2116 S 277TH PL
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6954
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Country | US
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Telephone | 253-797-9784
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/OWNER
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Name | NICOLE MURPHY
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Credential | OTR/L
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Telephone | 253-797-9784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT60342206
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License Number State | WA
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