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General NPI Number Information
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NPI Number | 1710122494
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Entity Type | Individual
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Provider Name | BRIDGET GREIFF OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 4531 INTELCO LOOP SE STE 3
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City | LACEY
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State | WA
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Zip | 98503-5941
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Country | US
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Telephone | 360-786-1753
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Fax | 360-786-1793
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Provider Business Mailing Address
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Address Line | 4820 YELM HWY SE STE B
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City | LACEY
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State | WA
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Zip | 98503-4904
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Country | US
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Telephone | 360-786-1753
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Fax | 360-786-1793
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT00003582
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License Number State | WA
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