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General NPI Number Information
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NPI Number | 1801419874
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Entity Type | Individual
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Provider Name | CLARISSA Y HILL
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Gender | Female
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Dates
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Enumeration Date | 05/25/2020
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 343 WELLSIAN WAY STE 103
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City | RICHLAND
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State | WA
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Zip | 99352-4107
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Country | US
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Telephone | 509-392-3773
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Fax | 509-362-9693
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Provider Business Mailing Address
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Address Line | 25117 SW PARKWAY AVE STE D
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City | WILSONVILLE
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State | OR
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Zip | 97070-9697
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Country | US
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Telephone | 971-255-4079
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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 | 32003482A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OC61075970
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License Number State | WA
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