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General NPI Number Information
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NPI Number | 1891495578
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Entity Type | Individual
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Provider Name | DAWON LEE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/09/2023
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 5959 CORSON AVE S
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City | SEATTLE
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State | WA
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Zip | 98108-2605
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Country | US
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Telephone | 206-971-7466
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Fax |
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Provider Business Mailing Address
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Address Line | 1915 E KENILWORTH PL # K310
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City | MILWAUKEE
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State | WI
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Zip | 53202-1121
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Country | US
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Telephone | 414-399-2935
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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 | OT61389496
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 24723
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License Number State | CA
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