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General NPI Number Information
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NPI Number | 1245582634
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Entity Type | Individual
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Provider Name | EDELMIRA YSASI MS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/09/2012
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 3324 E RAY RD UNIT 340
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City | HIGLEY
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State | AZ
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Zip | 85236-4516
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Country | US
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Telephone | 480-265-5557
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Fax | 480-347-4311
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Provider Business Mailing Address
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Address Line | 3304 N SUNRIDGE LN
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City | CHANDLER
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State | AZ
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Zip | 85225-1863
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Country | US
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Telephone | 419-680-6543
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Fax | 480-632-1504
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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 | OTH-009849
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License Number State | AZ
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