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General NPI Number Information
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NPI Number | 1861876245
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Entity Type | Individual
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Provider Name | HELEN REILLY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 19221 36TH AVE W STE. 101
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City | LYNNWOOD
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State | WA
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Zip | 98036-5796
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Country | US
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Telephone | 425-774-9563
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Fax |
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Provider Business Mailing Address
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Address Line | 519 18TH AVE E
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City | SEATTLE
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State | WA
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Zip | 98112-4617
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Country | US
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Telephone | 206-251-3473
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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 | 60574148
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License Number State | WA
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