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General NPI Number Information
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NPI Number | 1912717927
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Entity Type | Individual
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Provider Name | MARIAH RILEY SHERMAN MSOT
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Gender | Female
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 14595 NE BEL RED RD BLDG D101
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City | BELLEVUE
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State | WA
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Zip | 98007-3928
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Country | US
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Telephone | 425-242-3294
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Fax |
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Provider Business Mailing Address
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Address Line | 512 NE 72ND ST
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City | SEATTLE
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State | WA
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Zip | 98115-5411
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Country | US
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Telephone | 989-615-4017
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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 | OT61338566
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License Number State | WA
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