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General NPI Number Information
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NPI Number | 1992298889
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Entity Type | Individual
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Provider Name | MRS. REGEENA NICOLE ANSON
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Gender | Female
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 06/14/2018
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Provider Practice Location Address
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Address Line | 715 9TH AVE
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City | SEATTLE
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State | WA
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Zip | 98104-2066
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Country | US
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Telephone | 206-682-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 15707 4TH AVE S APT 33
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City | BURIEN
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State | WA
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Zip | 98148-1283
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Country | US
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Telephone | 206-999-3260
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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 |
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License Number State |
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