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General NPI Number Information
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NPI Number | 1235385725
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Entity Type | Individual
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Provider Name | THERA LYNN UNGUREANU OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/15/2008
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 2335 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95817-2201
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Country | US
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Telephone | 916-734-3165
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Fax |
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Provider Business Mailing Address
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Address Line | 1356 TURNBRIDGE WAY
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City | PLUMAS LAKE
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State | CA
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Zip | 95961-9154
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Country | US
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Telephone | 510-709-5673
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | OT 9635
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number | 9635
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License Number State | CA
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