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General NPI Number Information
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NPI Number | 1013639053
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Entity Type | Individual
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Provider Name | LAINA CATHERINE MELENDEZ
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Gender | Female
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 5464 CARPINTERIA AVE
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City | CARPINTERIA
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State | CA
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Zip | 93013-1423
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Country | US
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Telephone | 805-456-3155
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Fax |
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Provider Business Mailing Address
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Address Line | 5120 CATHEDRAL OAKS RD
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City | SANTA BARBARA
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State | CA
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Zip | 93111-1204
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Country | US
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Telephone | 805-451-5437
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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 | 7465
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License Number State | CA
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