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General NPI Number Information
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NPI Number | 1255588596
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Entity Type | Individual
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Provider Name | CHRISTINE M O'BRIEN
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Gender | Female
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 08/05/2019
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Provider Practice Location Address
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Address Line | 601 S BRAND BLVD
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City | SAN FERNANDO
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State | CA
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Zip | 91340-4040
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Country | US
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Telephone | 818-898-9493
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Fax |
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Provider Business Mailing Address
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Address Line | 6131 WEST AVE
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City | QUARTZ HILL
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State | CA
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Zip | 93536
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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 |
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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