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General NPI Number Information
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NPI Number | 1346677457
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Entity Type | Individual
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Provider Name | ISAAC XULIANG STAHLHUT OTR/L
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Gender | Male
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Dates
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Enumeration Date | 10/03/2013
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 2100 WOODS LN
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City | LOS ALTOS
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State | CA
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Zip | 94024-7154
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Country | US
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Telephone | 650-964-4330
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Fax | 650-964-7291
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Provider Business Mailing Address
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Address Line | 1416 FIFTH AVE
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City | BELMONT
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State | CA
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Zip | 94002-3833
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Country | US
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Telephone | 650-346-8114
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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 | 13816
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License Number State | CA
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