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General NPI Number Information
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NPI Number | 1336835479
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Entity Type | Individual
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Provider Name | DANICA SHEA CUCCIARE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 2250 68TH AVE
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City | SACRAMENTO
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State | CA
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Zip | 95822-5302
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Country | US
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Telephone | 916-395-5327
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Fax |
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Provider Business Mailing Address
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Address Line | 2600A WILMINGTON AVE
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City | SACRAMENTO
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State | CA
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Zip | 95820-1034
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Country | US
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Telephone | 916-439-5601
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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 | 9651
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License Number State | CA
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