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General NPI Number Information
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NPI Number | 1396189965
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Entity Type | Individual
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Provider Name | PATRICIA WEST M.A., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 11613 DOWNEY AVE APT 206
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City | DOWNEY
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State | CA
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Zip | 90241-4946
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Country | US
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Telephone | 562-712-4956
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Fax |
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Provider Business Mailing Address
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Address Line | 11613 DOWNEY AVE APT 206
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City | DOWNEY
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State | CA
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Zip | 90241-4946
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Country | US
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Telephone | 562-712-4956
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | CBOT 6949
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 010562-1
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License Number State | NY
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