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General NPI Number Information
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NPI Number | 1336032176
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Entity Type | Individual
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Provider Name | ANA WU MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 1325 SONOMA AVE
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City | MODESTO
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State | CA
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Zip | 95355-3922
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Country | US
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Telephone | 209-558-8118
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Fax |
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Provider Business Mailing Address
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Address Line | 17020 RAIL WAY
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City | LATHROP
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State | CA
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Zip | 95330-8642
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Country | US
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Telephone | 415-990-5693
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT12037
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License Number State | CA
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