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General NPI Number Information
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NPI Number | 1083750954
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Entity Type | Individual
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Provider Name | JUDITH CUENCA OTRL
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2610 YAHOME ST.
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City | NAPA
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State | CA
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Zip | 94558
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Country | US
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Telephone | 707-259-8711
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Fax | 707-253-6216
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Provider Business Mailing Address
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Address Line | 2558 HARVEST LN
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City | NAPA
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State | CA
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Zip | 94558-2567
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Country | US
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Telephone | 707-254-0620
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Fax | 707-254-0620
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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 | 4672
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License Number State | CA
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