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General NPI Number Information
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NPI Number | 1114646304
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Entity Type | Individual
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Provider Name | ALYSSA BARKER
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Gender | Female
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 3687 MT DIABLO BLVD STE 100
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City | LAFAYETTE
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State | CA
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Zip | 94549-3777
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Country | US
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Telephone | 925-954-4546
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Fax |
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Provider Business Mailing Address
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Address Line | 4620 CHERRY HILL RD STE 215
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City | ARLINGTON
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State | VA
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Zip | 22207-3400
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Country | US
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Telephone |
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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 | 0119-009598
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License Number State | VA
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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 | 27856
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License Number State | CA
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