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General NPI Number Information
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NPI Number | 1881237790
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Entity Type | Individual
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Provider Name | SANDRA ELIZABETH JAMES OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 105 N NATIONAL AVE
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City | BREMERTON
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State | WA
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Zip | 98312-3537
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Country | US
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Telephone | 360-405-5836
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Fax |
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Provider Business Mailing Address
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Address Line | 105 N NATIONAL AVE
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City | BREMERTON
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State | WA
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Zip | 98312-3537
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Country | US
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Telephone | 360-405-5836
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Fax | 360-782-5093
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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 | 60682035
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 61479594
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License Number State | WA
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