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General NPI Number Information
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NPI Number | 1548326101
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Entity Type | Individual
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Provider Name | JOYCE GORHAM OTRL
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10080 N WOLFE RD SW3-100
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City | CUPERTINO
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State | CA
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Zip | 95014-2515
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Country | US
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Telephone | 408-342-6635
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Fax |
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Provider Business Mailing Address
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Address Line | 5105 CORDOY LN
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City | SAN JOSE
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State | CA
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Zip | 95124-5604
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Country | US
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Telephone | 408-264-3212
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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 | 2231
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License Number State | CA
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