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General NPI Number Information
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NPI Number | 1093513210
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Entity Type | Individual
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Provider Name | TATUM BRUDEN
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Gender | Female
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 220 E 24TH ST
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City | NATIONAL CITY
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State | CA
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Zip | 91950-6705
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Country | US
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Telephone | 619-474-6741
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Fax |
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Provider Business Mailing Address
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Address Line | 5234 E REDFIELD RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2928
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Country | US
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Telephone | 602-525-0461
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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 | OTH-009545
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License Number State | AZ
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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 | 27549
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License Number State | CA
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