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General NPI Number Information
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NPI Number | 1427385533
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Entity Type | Individual
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Provider Name | JESELYN OUANO DELGADO OT
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Gender | Female
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 06/28/2019
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Provider Practice Location Address
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Address Line | 12411 SLAUSON AVENUE UNIT H
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City | WHITTIER
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State | CA
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Zip | 90606
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Country | US
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Telephone | 562-693-5449
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Fax | 562-693-5469
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Provider Business Mailing Address
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Address Line | 25220 BELLE PORTE AVE UNIT 4
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City | HARBOR CITY
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State | CA
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Zip | 90710-2847
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Country | US
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Telephone | 310-920-5232
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Fax | 562-693-5469
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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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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XE0001X
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Taxonomy Name | Environmental Modification Occupational Therapist
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License Number |
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License Number State |
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