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General NPI Number Information
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NPI Number | 1326316639
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Entity Type | Individual
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Provider Name | SCOTT BENJAMIN ORR OTR/L
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Gender | Male
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 1500 SAN PABLO ST
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City | LOS ANGELES
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State | CA
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Zip | 90033-5313
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Country | US
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Telephone | 323-442-5370
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Fax |
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Provider Business Mailing Address
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Address Line | 1546 CASSIL PL
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City | LOS ANGELES
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State | CA
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Zip | 90028-7106
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Country | US
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Telephone | 609-575-1458
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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 | 13159
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT60247215
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License Number State | WA
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