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General NPI Number Information
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NPI Number | 1194431874
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Entity Type | Individual
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Provider Name | VICTORIA ROSE LOEFFLER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/26/2023
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 401 RONEL CT
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City | NEWBURY PARK
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State | CA
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Zip | 91320-3664
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Country | US
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Telephone | 805-375-9078
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Fax |
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Provider Business Mailing Address
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Address Line | 31560 AGOURA RD UNIT 6
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-4413
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Country | US
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Telephone | 818-877-6403
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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 | OT.0007797
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 24604
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License Number State | CA
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