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General NPI Number Information
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NPI Number | 1033140231
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Entity Type | Individual
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Provider Name | ANDREA Y. CHAN IV OTR
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2000 E CHAPMAN AVE
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City | FULLERTON
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State | CA
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Zip | 92831-4106
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Country | US
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Telephone | 714-870-1744
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Fax | 714-870-1784
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Provider Business Mailing Address
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Address Line | 2720 ASSOCIATED RD C16
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City | FULLERTON
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State | CA
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Zip | 92835-2914
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Country | US
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Telephone | 714-253-3306
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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 | 8839
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License Number State | CA
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