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General NPI Number Information
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NPI Number | 1790694362
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Entity Type | Individual
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Provider Name | KAYLYN ALYSSA CALHOUN
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Gender | Female
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 2901 BRIDGEPORT WAY W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-4614
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Country | US
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Telephone | 253-534-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 5809 160TH AVE E UNIT F1
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City | SUMNER
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State | WA
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Zip | 98390-3175
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA.OC.61478828
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License Number State | WA
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