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NPI 1063513042

NPI 1063513042 : MISS TRISHA LYNN VALDEZ : RANCHO CORDOVA, CA

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General NPI Number Information
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    NPI Number           |    1063513042
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    Entity Type          |    Individual 
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    Provider Name        |    MISS TRISHA LYNN VALDEZ
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/25/2006
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    Last Update Date     |    01/15/2026
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Provider Practice Location Address
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    Address Line         |    1965 BIRKMONT DR 
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    City                 |    RANCHO CORDOVA
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    State                |    CA
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    Zip                  |    95742-6407
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    Country              |    US
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    Telephone            |    916-294-9007
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    Fax                  |    916-294-9023
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Provider Business Mailing Address
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    Address Line         |    4919 DOVER LN UNIT 1403 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95842-3691
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    Country              |    US
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    Telephone            |    916-524-5031
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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       |    OT1319
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    License Number State |    CA
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