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General NPI Number Information
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NPI Number | 1003468943
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Entity Type | Individual
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Provider Name | KELSEY DAWN ZAMBRASKI MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/11/2019
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Last Update Date | 07/12/2019
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Provider Practice Location Address
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Address Line | 1115 B ST
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City | PETALUMA
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State | CA
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Zip | 94952-4028
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Country | US
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Telephone | 845-249-0292
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Fax |
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Provider Business Mailing Address
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Address Line | 57 S PARLIMAN RD
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City | LAGRANGEVILLE
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State | NY
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Zip | 12540-6814
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Country | US
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Telephone | 845-249-0292
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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 | 20176
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License Number State | CA
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