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General NPI Number Information
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NPI Number | 1972415792
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Entity Type | Individual
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Provider Name | MOLLY KADLEC OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 315 129TH ST S
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City | TACOMA
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State | WA
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Zip | 98444-5099
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Country | US
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Telephone | 253-298-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 3510 N CHEYENNE ST
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City | TACOMA
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State | WA
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Zip | 98407-4829
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Country | US
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Telephone | 414-841-5943
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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 | 61153713
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License Number State | WA
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