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General NPI Number Information
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NPI Number | 1144426875
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Entity Type | Individual
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Provider Name | BETH JEAN BAUER OTRL
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Gender | Female
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 4510 VIEWRIDGE AVE
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City | SAN DIEGO
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State | CA
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Zip | 92123-1637
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Country | US
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Telephone | 858-694-4927
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Fax |
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Provider Business Mailing Address
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Address Line | 2715 AZALEA DR
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City | SAN DIEGO
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State | CA
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Zip | 92106-1132
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Country | US
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Telephone | 619-222-6262
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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 | 1551
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License Number State | CA
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