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General NPI Number Information
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NPI Number | 1124356688
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Entity Type | Individual
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Provider Name | TRACEY GAIL UDITSKY
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Gender | Female
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 11/20/2009
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Provider Practice Location Address
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Address Line | 1951 6TH ST
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City | LA VERNE
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State | CA
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Zip | 91750-4432
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Country | US
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Telephone | 909-973-4365
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Fax | 909-510-8196
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Provider Business Mailing Address
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Address Line | 1951 6TH ST
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City | LA VERNE
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State | CA
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Zip | 91750-4432
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Country | US
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Telephone | 909-973-4365
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Fax | 909-510-8196
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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 | OT4910
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License Number State | CA
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