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General NPI Number Information
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NPI Number | 1154250215
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Entity Type | Individual
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Provider Name | SHUCHIN JESSICA PENG M.A., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 1001 S EAST ST
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City | ANAHEIM
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State | CA
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Zip | 92805-5749
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Country | US
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Telephone | 714-517-8977
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Fax |
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Provider Business Mailing Address
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Address Line | 10892 MEADS
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City | ORANGE
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State | CA
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Zip | 92869-1500
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Country | US
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Telephone | 714-697-4560
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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 | 1257
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License Number State | CA
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