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General NPI Number Information
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NPI Number | 1295616936
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Entity Type | Individual
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Provider Name | ISAGANI YNOT OTR/L
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Gender | Male
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1680 E ROSEVILLE PKWY STE 113
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City | ROSEVILLE
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State | CA
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Zip | 95661-3988
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Country | US
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Telephone | 916-784-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 833 CLEMENTINE DR
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City | ROCKLIN
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State | CA
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Zip | 95765-5756
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 22759
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License Number State | CA
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