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General NPI Number Information
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NPI Number | 1437657327
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Entity Type | Individual
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Provider Name | ALYSSA JOELLE GARCES
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Gender | Female
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Dates
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Enumeration Date | 01/25/2018
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Last Update Date | 01/25/2018
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Provider Practice Location Address
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Address Line | 555 E VALLEY PKWY FL 5
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City | ESCONDIDO
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State | CA
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Zip | 92025-3048
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Country | US
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Telephone | 619-246-9452
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Fax |
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Provider Business Mailing Address
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Address Line | 3040 GARRISON ST
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City | SAN DIEGO
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State | CA
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Zip | 92106-2212
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Country | US
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Telephone | 619-246-9452
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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 | 18290
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License Number State | CA
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