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General NPI Number Information
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NPI Number | 1023694288
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Entity Type | Individual
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Provider Name | STEPHANIE CHAVARRIA OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 6400 LAUREL CANYON BLVD STE 550
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-1563
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Country | US
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Telephone | 818-760-0501
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Fax |
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Provider Business Mailing Address
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Address Line | 11740 BELLFLOWER BLVD APT E
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City | DOWNEY
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State | CA
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Zip | 90241-5468
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Country | US
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Telephone | 323-419-9017
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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 | OT22147
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License Number State | CA
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