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General NPI Number Information
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NPI Number | 1043404130
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Entity Type | Individual
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Provider Name | EUGENIA S H PANG OTRL
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Gender | Female
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | 3291 LOMA VISTA RD VENTURA COUNTY MEDICAL CENTER
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City | VENTURA
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State | CA
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Zip | 93003
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Country | US
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Telephone | 805-648-9980
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Fax | 805-648-9870
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Provider Business Mailing Address
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Address Line | PO BOX 444
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City | OJAI
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State | CA
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Zip | 93024
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Country | US
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Telephone | 805-646-7781
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Fax | 805-646-7781
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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 | 2024
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0523
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0393
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License Number State | HI
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