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General NPI Number Information
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NPI Number | 1740415207
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Entity Type | Organization
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Legal Business Name | LITTLE BIT THERAPEUTIC RIDING CENTER
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Dates
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Enumeration Date | 05/27/2009
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Last Update Date | 05/27/2009
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Provider Practice Location Address
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Address Line | 19802 NE 148TH ST
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City | WOODINVILLE
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State | WA
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Zip | 98077-7698
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Country | US
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Telephone | 425-882-1554
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Fax |
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Provider Business Mailing Address
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Address Line | 19802 NE 148TH ST
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City | WOODINVILLE
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State | WA
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Zip | 98077-7698
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Country | US
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Telephone | 425-882-1554
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KATHY ALM
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Credential |
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Telephone | 425-882-1554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10126
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 60082412
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9994
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License Number State | WA
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