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General NPI Number Information
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NPI Number | 1861479842
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Entity Type | Individual
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Provider Name | COLLEEN MARIE HARB OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9040 FITZSIMMONS DR
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City | TACOMA
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State | WA
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Zip | 98431-1000
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Country | US
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Telephone | 253-968-2330
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Fax |
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Provider Business Mailing Address
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Address Line | 1672 MILLER AVE NE
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City | OLYMPIA
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State | WA
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Zip | 98506-3442
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Country | US
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Telephone | 716-308-9578
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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 | OT00004034
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License Number State | WA
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