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General NPI Number Information
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NPI Number | 1063973444
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Entity Type | Individual
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Provider Name | KRISTIE JENSHUAN HSIEH MS OTRL
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Gender | Female
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 5893 COPLEY DR
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City | SAN DIEGO
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State | CA
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Zip | 92111-7906
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Country | US
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Telephone | 248-318-3369
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Fax |
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Provider Business Mailing Address
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Address Line | 7715 EL CAJON BLVD UNIT 8
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City | LA MESA
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State | CA
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Zip | 91942-6982
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Country | US
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Telephone | 248-318-3369
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | OT22972
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License Number State | CA
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