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General NPI Number Information
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NPI Number | 1063975639
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Entity Type | Individual
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Provider Name | ROBERT VILLALPANDO
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Gender | Male
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 04/10/2019
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Provider Practice Location Address
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Address Line | 8555 FLORENCE AVE
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City | DOWNEY
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State | CA
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Zip | 90240-4014
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Country | US
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Telephone | 562-923-9351
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 S PROSPERO DR
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City | GLENDORA
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State | CA
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Zip | 91740-4965
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Country | US
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Telephone | 626-261-8683
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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 | 18986
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License Number State | CA
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