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General NPI Number Information
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NPI Number | 1437622347
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Entity Type | Individual
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Provider Name | VALORIE SPAULDING OTA
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Gender | Female
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 525 AUTO CENTER DR
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City | WATSONVILLE
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State | CA
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Zip | 95076-3745
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Country | US
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Telephone | 831-724-7505
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Fax |
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Provider Business Mailing Address
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Address Line | 733 CAPITOLA AVE
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City | CAPITOLA
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State | CA
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Zip | 95010-2708
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Country | US
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Telephone | 386-675-8137
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 4215
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License Number State | CA
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