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General NPI Number Information
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NPI Number | 1336028695
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Entity Type | Individual
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Provider Name | ALYSSA NAOMI SUZUKI OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/30/2025
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 811 N CATALINA AVE STE 1300
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City | REDONDO BEACH
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State | CA
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Zip | 90277-2190
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Country | US
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Telephone | 310-673-8412
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Fax |
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Provider Business Mailing Address
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Address Line | 1870 W 180TH PL
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City | TORRANCE
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State | CA
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Zip | 90504-4415
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Country | US
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Telephone | 310-447-8041
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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 | 27970
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License Number State | CA
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