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General NPI Number Information
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NPI Number | 1922342724
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Entity Type | Individual
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Provider Name | JOANN TESSITORE FRIDENSTINE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/16/2012
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Last Update Date | 11/16/2012
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Provider Practice Location Address
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Address Line | 8001 SILVA AVE SE
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City | SNOQUALMIE
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State | WA
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Zip | 98065-0400
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Country | US
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Telephone | 425-831-8000
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Fax | 425-831-8040
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Provider Business Mailing Address
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Address Line | 17819 NE 96TH WAY 1
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City | REDMOND
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State | WA
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Zip | 98052-6955
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Country | US
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Telephone | 425-765-8344
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 00000987
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License Number State | WA
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