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General NPI Number Information
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NPI Number | 1083612113
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Entity Type | Individual
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Provider Name | PATRICIA READICK ALEXANDER O.T.R./L
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Gender | Female
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1414 PARK ST
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City | PASO ROBLES
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State | CA
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Zip | 93446-2160
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Country | US
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Telephone | 805-237-0272
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Fax | 805-237-2416
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Provider Business Mailing Address
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Address Line | 6050 CONEJO RD
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City | ATASCADERO
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State | CA
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Zip | 93422-1829
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Country | US
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Telephone | 805-462-3430
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | OT5190
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License Number State | CA
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