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General NPI Number Information
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NPI Number | 1073865010
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Entity Type | Organization
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Legal Business Name | JOANNE BRANKIN INC
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Dates
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Enumeration Date | 10/14/2012
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Last Update Date | 10/14/2012
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Provider Practice Location Address
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Address Line | 6724 HILLPARK DR #304
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City | LOS ANGELES
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State | CA
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Zip | 90068-2169
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Country | US
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Telephone | 310-980-6675
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Fax |
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Provider Business Mailing Address
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Address Line | 6724 HILLPARK DR #304
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City | LOS ANGELES
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State | CA
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Zip | 90068-2169
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Country | US
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Telephone | 310-980-6675
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOANNE BRANKIN
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Credential | OTR
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Telephone | 310-980-6675
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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 | OT 6825
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License Number State | CA
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