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NPI 1114051729

NPI 1114051729 : BRIANA HAMILL OTRL, CIMI : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1114051729
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    Entity Type          |    Individual 
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    Provider Name        |    BRIANA HAMILL OTRL, CIMI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/15/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    155 N OCCIDENTAL BLVD 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90026-4641
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    Country              |    US
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    Telephone            |    213-381-2931
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2086 BRIGDEN RD 
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91104-3341
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    Country              |    US
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    Telephone            |    503-704-2609
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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       |    8210
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    License Number State |    CA
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