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General NPI Number Information
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NPI Number | 1952834202
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Entity Type | Individual
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Provider Name | SUSAN VIVOLO I COTA
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Gender | Female
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 400 29TH ST NE
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City | PUYALLUP
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State | WA
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Zip | 98372-6774
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Country | US
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Telephone | 206-412-9801
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Fax |
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Provider Business Mailing Address
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Address Line | 12722 SE 312TH ST APT C203
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City | AUBURN
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State | WA
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Zip | 98092-3382
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Country | US
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Telephone | 206-412-9801
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 328588
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License Number State | WA
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