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General NPI Number Information
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NPI Number | 1386553709
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Entity Type | Individual
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Provider Name | SHAGUFTA SANDY
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Gender | Female
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 8435 ARCHIBALD AVE
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3662
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Country | US
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Telephone | 909-484-1337
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Fax | 909-980-1184
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Provider Business Mailing Address
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Address Line | 750 S LINCOLN AVE # 104-382
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City | CORONA
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State | CA
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Zip | 92882-3551
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Country | US
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Telephone | 909-484-1337
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Fax | 909-980-1184
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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 | 8270
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License Number State | CA
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