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General NPI Number Information
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NPI Number | 1417679788
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Entity Type | Individual
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Provider Name | BLAIR TAYLOR MEUNITZ
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Gender | Female
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Dates
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Enumeration Date | 09/14/2022
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 9620 CHESAPEAKE DR STE 105
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City | SAN DIEGO
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State | CA
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Zip | 92123-1324
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Country | US
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Telephone | 858-505-9083
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Fax |
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Provider Business Mailing Address
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Address Line | 28243 MAITLAND LN
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City | SANTA CLARITA
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State | CA
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Zip | 91350-3214
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Country | US
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Telephone | 661-476-9701
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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