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General NPI Number Information
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NPI Number | 1003865916
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Entity Type | Individual
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Provider Name | NEENA EILEEN BAKSHI OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 06/20/2011
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Provider Practice Location Address
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Address Line | 8775 AERO DR SUITE 238
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City | SAN DIEGO
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State | CA
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Zip | 92123-1792
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Country | US
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Telephone | 858-571-0030
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Fax |
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Provider Business Mailing Address
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Address Line | 484 SILVERY LN
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City | EL CAJON
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State | CA
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Zip | 92020-2225
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Country | US
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Telephone | 619-444-7967
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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 | 3231
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License Number State | CA
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