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General NPI Number Information
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NPI Number | 1508727124
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Entity Type | Individual
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Provider Name | JESSICA PUTH OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 830 N CAPITOL AVE
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City | SAN JOSE
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State | CA
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Zip | 95133-1316
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Country | US
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Telephone | 408-347-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 22123 HEIDEMARIE ST
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City | CHATSWORTH
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State | CA
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Zip | 91311-5736
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Country | US
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Telephone | 818-337-9161
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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 | 18403
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License Number State | CA
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