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General NPI Number Information
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NPI Number | 1184399826
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Entity Type | Individual
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Provider Name | ALYSSA GERMANOS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 6264 FERRIS SQ
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City | SAN DIEGO
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State | CA
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Zip | 92121-3204
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Country | US
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Telephone | 619-940-4128
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Fax |
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Provider Business Mailing Address
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Address Line | 606 WASHINGTON ST APT 214
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City | SAN DIEGO
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State | CA
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Zip | 92103-2374
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Country | US
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Telephone | 757-969-2470
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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 | 22708
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License Number State | CA
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