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General NPI Number Information
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NPI Number | 1275170235
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Entity Type | Individual
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Provider Name | AMY BRALEY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/09/2019
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | LOVE JOY ADHC 10293 ROCKINGHAM DR
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City | SACRAMENTO
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State | CA
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Zip | 95827
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Country | US
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Telephone | 916-661-6194
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Fax | 916-431-7281
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Provider Business Mailing Address
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Address Line | 2564 TRADEWINDS DR
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City | ROSEVILLE
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State | CA
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Zip | 95747-7142
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Country | US
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Telephone | 916-690-0739
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 15226
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License Number State | CA
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