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General NPI Number Information
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NPI Number | 1487361002
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Entity Type | Organization
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Legal Business Name | MUNCHKIN THERAPIES
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 1022 E DEEPVIEW DR
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City | COVINA
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State | CA
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Zip | 91724-3469
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Country | US
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Telephone | 951-452-3636
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Fax | 626-209-4399
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Provider Business Mailing Address
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Address Line | 1022 E DEEPVIEW DR
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City | COVINA
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State | CA
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Zip | 91724-3469
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Country | US
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Telephone | 951-452-3636
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OCCUPATIONAL THERAPIST
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Name | RACHEL WILLIAMS
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Credential | OT/L
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Telephone | 951-452-3636
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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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