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General NPI Number Information
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NPI Number | 1386882330
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Entity Type | Individual
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Provider Name | ROBYNNE NEUHAUS B.S. OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 01/29/2009
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Provider Practice Location Address
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Address Line | 2999 CLEVELAND AVE
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City | SANTA ROSA
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State | CA
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Zip | 95403-2761
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Country | US
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Telephone | 707-546-9160
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Fax | 707-546-1338
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Provider Business Mailing Address
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Address Line | 2184 HASTINGS CT
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City | SANTA ROSA
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State | CA
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Zip | 95405-8377
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Country | US
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Telephone | 707-935-6739
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Fax | 707-591-9891
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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 | OT1567
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number | OT1567
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT1567
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License Number State | CA
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