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General NPI Number Information
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NPI Number | 1043546005
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Entity Type | Organization
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Legal Business Name | DG THERAPY GROUP INC
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 12411 SLAUSON AVE UNIT H
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City | WHITTIER
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State | CA
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Zip | 90606-2835
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Country | US
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Telephone | 562-693-5449
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Fax | 562-693-5469
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Provider Business Mailing Address
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Address Line | 12411 SLAUSON AVE UNIT H
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City | WHITTIER
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State | CA
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Zip | 90606-2835
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Country | US
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Telephone | 562-693-5449
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Fax | 562-693-5469
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DIANA ALEXANDRA GUTIERREZ
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Credential | PT
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Telephone | 562-693-5449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225XE0001X
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Taxonomy Name | Environmental Modification Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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