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NPI 1407976541

NPI 1407976541 : JASON RONN HILL OTR : DOWNEY, CA

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General NPI Number Information
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    NPI Number           |    1407976541
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    Entity Type          |    Individual 
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    Provider Name        |    JASON RONN HILL OTR
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/30/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    12200 BELLFLOWER BLVD 
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    City                 |    DOWNEY
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    State                |    CA
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    Zip                  |    90242-2804
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    Country              |    US
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    Telephone            |    562-672-4362
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5332 W 137TH PL 
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    City                 |    HAWTHORNE
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    State                |    CA
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    Zip                  |    90250-6426
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    Country              |    US
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    Telephone            |    310-720-6205
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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       |    5931
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    License Number State |    CA
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