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General NPI Number Information
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NPI Number | 1093056640
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Entity Type | Individual
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Provider Name | DAWN KOREN STEVENSON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 11985 HERITAGE OAK PL
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City | AUBURN
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State | CA
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Zip | 95603-2413
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Country | US
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Telephone | 530-889-0872
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Fax |
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Provider Business Mailing Address
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Address Line | 11327 REID PL
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City | GRASS VALLEY
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State | CA
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Zip | 95945-4300
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Country | US
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Telephone | 530-615-4228
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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 | 224ZL0004X
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Taxonomy Name | Low Vision Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 13174
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 6976
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 225XE0001X
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Taxonomy Name | Environmental Modification Occupational Therapist
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Taxonomy #5
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Taxonomy Code | 225XE1200X
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Taxonomy Name | Ergonomics Occupational Therapist
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Taxonomy #6
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number |
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Taxonomy #7
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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