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General NPI Number Information
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NPI Number | 1730432840
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Entity Type | Individual
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Provider Name | VICKIE L PARKER OTR
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Gender | Female
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Dates
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Enumeration Date | 10/26/2012
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 1220 4TH AVE E
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City | OLYMPIA
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State | WA
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Zip | 98506-4212
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Country | US
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Telephone | 360-316-4168
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Fax | 360-485-4968
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Provider Business Mailing Address
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Address Line | 1220 4TH AVE E
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City | OLYMPIA
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State | WA
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Zip | 98506-4212
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Country | US
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Telephone | 360-316-4168
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Fax | 360-485-4968
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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 | OT60311124
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License Number State | WA
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