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General NPI Number Information
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NPI Number | 1780365221
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Entity Type | Organization
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Legal Business Name | ENVISION THERAPIES
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 176 RASPBERRY LN
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City | WOODLAND
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State | WA
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Zip | 98674-7218
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Country | US
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Telephone | 503-708-7600
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Fax | 509-461-0049
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Provider Business Mailing Address
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Address Line | 176 RASPBERRY LN
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City | WOODLAND
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State | WA
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Zip | 98674-7218
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Country | US
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Telephone | 503-708-7600
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Fax | 509-461-0049
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Authorized Official
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Title or Position | OWNER
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Name | MARY WINTER
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Credential | OT
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Telephone | 503-708-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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