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General NPI Number Information
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NPI Number | 1093174013
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Entity Type | Individual
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Provider Name | THANH DINH OT(CALIFORNIA)
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Gender | Male
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Dates
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Enumeration Date | 02/18/2016
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 6215 FERRIS SQUARE, SAN DIEGO CA 92121
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City | SAN DIEGO
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State | CA
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Zip | 92121
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Country | US
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Telephone | 800-683-1209
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Fax |
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Provider Business Mailing Address
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Address Line | 1912 VICKI LN
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City | PLEASANT HILL
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State | CA
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Zip | 94523
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Country | US
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Telephone | 415-395-6432
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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 | 26685
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License Number State | CA
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