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General NPI Number Information
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NPI Number | 1245119692
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Entity Type | Organization
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Legal Business Name | OT BAY AREA PC
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 58 W PORTAL AVE # 532
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City | SAN FRANCISCO
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State | CA
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Zip | 94127-1304
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Country | US
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Telephone | 415-236-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 58 W PORTAL AVE # 532
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City | SAN FRANCISCO
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State | CA
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Zip | 94127-1304
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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 | OWNER
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Name | SHEELA IVLEV
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Credential | OTR/L
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Telephone | 415-236-2030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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