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NPI 1326804543

NPI 1326804543 : DANIEL PADILLA VEGA OT APC : VAN NUYS, CA

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General NPI Number Information
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    NPI Number           |    1326804543
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    Entity Type          |    Organization 
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    Legal Business Name  |    DANIEL PADILLA VEGA OT APC 
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Dates
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    Enumeration Date     |    02/26/2024
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    Last Update Date     |    02/26/2024
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Provider Practice Location Address
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    Address Line         |    15855 SATICOY ST APT 6 
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    City                 |    VAN NUYS
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    State                |    CA
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    Zip                  |    91406-3163
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    Country              |    US
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    Telephone            |    818-571-1817
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15855 SATICOY ST APT 6 
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    City                 |    VAN NUYS
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    State                |    CA
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    Zip                  |    91406-3163
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    Country              |    US
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    Telephone            |    818-571-1817
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |     DANIEL ALEJANDRO PADILLA VEGA 
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    Credential           |    OTD, OTR/L
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    Telephone            |    818-571-1817
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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       |    
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    License Number State |    
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