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General NPI Number Information
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NPI Number | 1386243624
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Entity Type | Individual
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Provider Name | SANDRA JAMZIN GARCIA OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 260 E CHASE AVE STE NO204
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City | EL CAJON
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State | CA
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Zip | 92020-6325
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Country | US
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Telephone | 619-647-6157
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Fax | 858-997-2088
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Provider Business Mailing Address
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Address Line | 4622 HAMILTON ST APT 5
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City | SAN DIEGO
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State | CA
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Zip | 92116-6020
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Country | US
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Telephone | 562-677-6186
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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 | OT21464
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License Number State | CA
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