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General NPI Number Information
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NPI Number | 1730291519
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Entity Type | Individual
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Provider Name | PAMELA L. STOCKMAN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 6900 37TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98118-6425
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Country | US
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Telephone | 253-677-3212
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Fax | 253-677-3212
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Provider Business Mailing Address
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Address Line | 6900 37TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98118-6425
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Country | US
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Telephone | 253-677-3212
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Fax | 253-677-3212
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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 | OT00002916
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License Number State | WA
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