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General NPI Number Information
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NPI Number | 1427755321
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Entity Type | Individual
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Provider Name | LAURA HOPPE MSOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/10/2023
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 326 MISSION AVE
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City | SAN RAFAEL
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State | CA
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Zip | 94901-3425
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Country | US
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Telephone | 415-367-0823
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Fax |
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Provider Business Mailing Address
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Address Line | 28 HAMPSHIRE WAY
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City | NOVATO
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State | CA
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Zip | 94945-1800
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Country | US
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Telephone | 415-408-8364
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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 | 17380
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License Number State | CA
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