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General NPI Number Information
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NPI Number | 1972250066
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Entity Type | Organization
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Legal Business Name | JULIA WING, OT PLLC
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 2806 E 16TH AVE
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City | SPOKANE
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State | WA
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Zip | 99223-5114
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Country | US
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Telephone | 509-688-9397
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 26TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98144-3051
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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 | OCCUPATIONAL THERAPIST
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Name | JULIA M WING
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Credential | MSOT R/L
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Telephone | 509-688-9397
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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 |
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License Number State |
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