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General NPI Number Information
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NPI Number | 1356659742
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Entity Type | Organization
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Legal Business Name | HOLLYWOOD HANDS REHABILITATION INC
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 09/20/2010
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Provider Practice Location Address
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Address Line | 8600 W 3RD ST SUITE 3B
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City | LOS ANGELES
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State | CA
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Zip | 90048-3338
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Country | US
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Telephone | 310-968-0602
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 S BEVERLY GLEN BLVD #213
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City | LOS ANGELES
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State | CA
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Zip | 90024-6162
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Country | US
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Telephone | 310-968-0602
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRIAN SPENCER
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Credential | O.T., CHT
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Telephone | 310-968-0602
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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 | OT 2313
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License Number State | CA
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