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General NPI Number Information
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NPI Number | 1881573103
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Entity Type | Individual
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Provider Name | PAIGE BAGLEY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 12033 SE 256TH ST
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City | KENT
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State | WA
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Zip | 98030-6503
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Country | US
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Telephone | 253-373-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 13016 SE 232ND PL
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City | KENT
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State | WA
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Zip | 98031-3634
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Country | US
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Telephone | 206-498-0576
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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 | OT.OT.61683188
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License Number State | WA
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