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General NPI Number Information
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NPI Number | 1700419611
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Entity Type | Individual
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Provider Name | NICHOLAS PETER STRAWN OTR/L
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Gender | Male
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 09/02/2023
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Provider Practice Location Address
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Address Line | 12B N UNIVERSITY RD
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-5205
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Country | US
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Telephone | 509-818-0086
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Fax | 509-606-0439
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Provider Business Mailing Address
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Address Line | 18609 E 9TH CT
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City | SPOKANE VALLEY
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State | WA
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Zip | 99016-8652
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Country | US
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Telephone |
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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 | 61036489
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License Number State | WA
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