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General NPI Number Information
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NPI Number | 1184445462
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Entity Type | Individual
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Provider Name | VICTORIA MARASIGAN
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Gender | Female
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 11/09/2024
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Provider Practice Location Address
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Address Line | 3620 LONG BEACH BLVD STE C8
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City | LONG BEACH
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State | CA
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Zip | 90807-6013
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Country | US
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Telephone | 424-367-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 4862 EL RANCHO VERDE DR
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City | LA PALMA
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State | CA
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Zip | 90623-1423
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 23518
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License Number State | CA
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