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NPI 1932933868

NPI 1932933868 : VICTORIA CHAFFEE OTD, OTR/L : TACOMA, WA

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General NPI Number Information
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    NPI Number           |    1932933868
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    Entity Type          |    Individual 
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    Provider Name        |    VICTORIA CHAFFEE OTD, OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/02/2024
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    Last Update Date     |    09/02/2024
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Provider Practice Location Address
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    Address Line         |    16715 36TH AVE E 
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    City                 |    TACOMA
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    State                |    WA
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    Zip                  |    98446-1376
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    Country              |    US
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    Telephone            |    253-800-7800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4615 N 19TH ST 
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    City                 |    TACOMA
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    State                |    WA
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    Zip                  |    98406-3817
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    Country              |    US
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    Telephone            |    
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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       |    
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    License Number State |    
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