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General NPI Number Information
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NPI Number | 1942554753
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Entity Type | Individual
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Provider Name | PHOEBE WAI-HAN AU COMS, OT/L, CLT
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Gender | Female
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 10/31/2012
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Provider Practice Location Address
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Address Line | 9600 VETERANS DR
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City | TACOMA
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State | WA
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Zip | 98493-0001
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Country | US
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Telephone | 253-583-1245
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Fax |
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Provider Business Mailing Address
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Address Line | 138 S 332ND PL APT. 810
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City | FEDERAL WAY
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State | WA
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Zip | 98003-7330
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Country | US
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Telephone | 253-874-0401
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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 | 2255R0406X
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Taxonomy Name | Blind Rehabilitation Specialist/Technologist
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License Number |
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License Number State |
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