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General NPI Number Information
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NPI Number | 1144041260
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Entity Type | Individual
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Provider Name | MELISSA GARCIA
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Gender | Female
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 3680 E IMPERIAL HWY
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City | LYNWOOD
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State | CA
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Zip | 90262-2659
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Country | US
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Telephone | 310-807-7545
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Fax |
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Provider Business Mailing Address
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Address Line | 9612 DEARBORN AVE
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City | SOUTH GATE
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State | CA
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Zip | 90280-4410
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Country | US
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Telephone | 323-425-1865
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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 | 26983
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License Number State | CA
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