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General NPI Number Information
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NPI Number | 1770106247
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Entity Type | Organization
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Legal Business Name | WELL NESTED, PLLC
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 4217 170TH CT NE
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City | REDMOND
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State | WA
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Zip | 98052-5494
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Country | US
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Telephone | 206-854-4140
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Fax |
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Provider Business Mailing Address
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Address Line | 15774 NE 101ST CT
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City | REDMOND
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State | WA
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Zip | 98052-1006
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Country | US
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Telephone | 206-854-4140
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST AND OWNER
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Name | SHARLENE LEEDY
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Credential | OTR/L
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Telephone | 206-854-4140
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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 |
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License Number State |
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