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General NPI Number Information
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NPI Number | 1740524263
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Entity Type | Individual
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Provider Name | ANNA M WACHTEL M.S., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/21/2012
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Last Update Date | 04/08/2019
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Provider Practice Location Address
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Address Line | 9709 3RD AVE NE
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City | SEATTLE
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State | WA
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Zip | 98115-2062
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Country | US
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Telephone | 206-860-2210
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Fax |
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Provider Business Mailing Address
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Address Line | 678 SAN DIEGO PL
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City | BARTLETT
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State | IL
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Zip | 60103-4725
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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 | 056.009943
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License Number State | IL
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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 | OT60874828
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License Number State | WA
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