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General NPI Number Information
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NPI Number | 1902260011
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Entity Type | Organization
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Legal Business Name | HAND THERAPY ADVANTAGE LLC
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 5322 N DIVISION ST SUITE 102
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City | SPOKANE
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State | WA
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Zip | 99207-1300
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Country | US
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Telephone | 509-487-1232
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Fax | 509-489-4389
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Provider Business Mailing Address
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Address Line | 5322 N DIVISION ST 102
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City | SPOKANE
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State | WA
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Zip | 99207-1300
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Country | US
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Telephone | 509-795-0271
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Fax | 509-489-4389
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Authorized Official
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Title or Position | OWNER / MANAGER
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Name | CHERYL ANN JONES
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Credential | OT/L, CHT
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Telephone | 509-487-1232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | OT00001469
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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 | OT00001469
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | OT00001469
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | OT00001469
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License Number State | WA
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