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General NPI Number Information
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NPI Number | 1154230514
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Entity Type | Individual
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Provider Name | ALICIA LILIANA SANDOVAL
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Gender | Female
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 1716 COTTONWOOD ST
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City | WOODLAND
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State | CA
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Zip | 95695-5137
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Country | US
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Telephone | 530-666-3641
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Fax |
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Provider Business Mailing Address
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Address Line | 950 ARLINGTON CIR
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City | WOODLAND
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State | CA
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Zip | 95695-2877
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 25852
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License Number State | CA
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