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General NPI Number Information
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NPI Number | 1962366013
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Entity Type | Individual
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Provider Name | EMILY ANDERSEN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 4041 S 298TH ST
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City | AUBURN
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State | WA
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Zip | 98001-1581
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Country | US
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Telephone | 253-945-2527
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Fax |
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Provider Business Mailing Address
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Address Line | 1213 N FIFE ST
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City | TACOMA
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State | WA
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Zip | 98406-7402
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Country | US
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Telephone | 760-914-2745
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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 | OT.OT.61670184
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License Number State | WA
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