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NPI 1356623144

NPI 1356623144 : SHAUNA ESTHER ZEILIG MA, OTR/L : CULVER CITY, CA

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General NPI Number Information
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    NPI Number           |    1356623144
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    Entity Type          |    Individual 
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    Provider Name        |    SHAUNA ESTHER ZEILIG MA, OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/16/2011
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    Last Update Date     |    09/16/2011
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Provider Practice Location Address
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    Address Line         |    3527 HELMS AVE 
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    City                 |    CULVER CITY
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    State                |    CA
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    Zip                  |    90232-2414
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    Country              |    US
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    Telephone            |    646-236-6318
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3527 HELMS AVE 
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    City                 |    CULVER CITY
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    State                |    CA
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    Zip                  |    90232
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    Country              |    US
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    Telephone            |    646-236-6318
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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       |    9115
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    License Number State |    CA
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