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NPI 1831152636

NPI 1831152636 : HIGHLINE HAND THERAPY INC P S : BURIEN, WA

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General NPI Number Information
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    NPI Number           |    1831152636
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    Entity Type          |    Organization 
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    Legal Business Name  |    HIGHLINE HAND THERAPY INC P S 
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Dates
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    Enumeration Date     |    04/11/2006
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    Last Update Date     |    06/20/2008
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Provider Practice Location Address
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    Address Line         |    275 SW 160TH ST STE. 201
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    City                 |    BURIEN
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    State                |    WA
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    Zip                  |    98166-3003
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    Country              |    US
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    Telephone            |    206-244-4263
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    Fax                  |    206-244-8703
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Provider Business Mailing Address
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    Address Line         |    275 SW 160TH ST STE. 201
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    City                 |    BURIEN
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    State                |    WA
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    Zip                  |    98166-3003
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    Country              |    US
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    Telephone            |    206-244-4263
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    Fax                  |    206-244-8703
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Authorized Official
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    Title or Position    |    VICE PRESIDENT CLINICAL SUPERVISOR
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    Name                 |    MS. LYNNE  WOLF 
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    Credential           |    OTR L CHT CVE
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    Telephone            |    206-244-4263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    225XH1200X
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    Taxonomy Name        |    Hand Occupational Therapist
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    License Number       |    
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    License Number State |    WA
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Taxonomy #3
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    Taxonomy Code        |    2251H1200X
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    Taxonomy Name        |    Hand Physical Therapist
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    License Number       |    
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    License Number State |    WA
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Taxonomy #4
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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 |    WA
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