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General NPI Number Information
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NPI Number | 1790763084
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Entity Type | Individual
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Provider Name | DEBRA RACHAEL ROBINSON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 10/15/2015
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Provider Practice Location Address
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Address Line | 14848 MARTINSON RD SE
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City | YELM
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State | WA
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Zip | 98597-8520
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Country | US
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Telephone | 360-960-0712
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Fax | 360-894-1768
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Provider Business Mailing Address
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Address Line | 14848 MARTINSON RD SE
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City | YELM
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State | WA
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Zip | 98597-8520
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Country | US
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Telephone | 360-960-0712
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Fax | 360-894-1768
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 1455
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 8985
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License Number State | CA
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