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General NPI Number Information
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NPI Number | 1356440408
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Entity Type | Individual
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Provider Name | CARLA PAZ OTR HTC
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 8811 GARVEY AVE STE 203
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City | ROSEMEAD
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State | CA
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Zip | 91770-2464
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Country | US
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Telephone | 626-943-9153
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Fax | 626-434-3600
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Provider Business Mailing Address
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Address Line | 7220 ELDERLY AVE
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City | LAS VEGAS
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State | NV
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Zip | 89131-3220
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Country | US
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Telephone | 626-457-1118
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Fax | 626-457-9794
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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 | OT7380
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License Number State | CA
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