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General NPI Number Information
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NPI Number | 1184184178
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Entity Type | Individual
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Provider Name | KATIE SPABERG
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Gender | Female
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 12900B GARDEN GROVE BLVD STE 235
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City | GARDEN GROVE
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State | CA
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Zip | 92843-2027
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Country | US
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Telephone | 714-750-9700
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Fax | 714-776-9797
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Provider Business Mailing Address
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Address Line | 12900B GARDEN GROVE BLVD STE 235
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City | GARDEN GROVE
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State | CA
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Zip | 92843-2027
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Country | US
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Telephone | 714-750-9700
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Fax | 714-750-9797
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 5397
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License Number State | CA
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