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General NPI Number Information
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NPI Number | 1013185925
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Entity Type | Individual
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Provider Name | VALERIE ROUGEAU OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 1815 W. 213TH STREET SUITE 100
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City | TORRANCE
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State | CA
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Zip | 90501
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Country | US
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Telephone | 310-328-0693
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Fax | 310-328-7058
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Provider Business Mailing Address
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Address Line | 1815 W. 213TH STREET SUITE 100
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City | TORRANCE
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State | CA
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Zip | 90501
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Country | US
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Telephone | 310-328-0693
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Fax | 310-328-7058
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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 | 8419
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License Number State | CA
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