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General NPI Number Information
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NPI Number | 1346315538
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Entity Type | Individual
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Provider Name | SUSAN FRANCES CAPELLA OTRL
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Gender | Female
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 04/26/2019
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Provider Practice Location Address
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Address Line | 3300 FRANKLIN ST
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City | ANDERSON
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State | CA
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Zip | 96007
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Country | US
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Telephone | 530-365-0025
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Fax |
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Provider Business Mailing Address
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Address Line | 2439 TEHAMA ST
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City | REDDING
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State | CA
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Zip | 96001
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Country | US
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Telephone | 530-247-1941
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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 | 4884
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License Number State | CA
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