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General NPI Number Information
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NPI Number | 1831361500
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Entity Type | Individual
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Provider Name | SUZANNE G. RICHMOND OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 2821 S WALDEN ST
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City | SEATTLE
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State | WA
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Zip | 98144-6830
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Country | US
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Telephone | 206-725-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 7001 52ND AVE NE
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City | SEATTLE
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State | WA
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Zip | 98115-6201
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Country | US
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Telephone | 206-525-2139
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT00000580
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License Number State | WA
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