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General NPI Number Information
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NPI Number | 1225378789
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Entity Type | Individual
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Provider Name | AUDREY OSBURN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/20/2013
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Last Update Date | 08/11/2014
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Provider Practice Location Address
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Address Line | 1060 TWIN DOLPHIN DR SUITE 100
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City | REDWOOD CITY
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State | CA
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Zip | 94065-1133
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Country | US
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Telephone | 650-631-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 E HILLSDALE BLVD APT 19B
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City | FOSTER CITY
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State | CA
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Zip | 94404-1221
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Country | US
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Telephone | 317-502-8113
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 115276
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 14527
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License Number State | CA
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