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General NPI Number Information
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NPI Number | 1548741333
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Entity Type | Individual
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Provider Name | JOSEPH MICHAEL SCHOTT
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Gender | Male
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 12/14/2020
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Provider Practice Location Address
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Address Line | 2011 S BROADWAY STE N
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City | SANTA MARIA
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State | CA
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Zip | 93454-7886
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Country | US
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Telephone | 805-440-9318
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Fax | 805-354-7088
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Provider Business Mailing Address
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Address Line | 1106 WALNUT ST STE 110
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-2416
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Country | US
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Telephone | 805-788-0805
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Fax | 805-788-0845
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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 | OT21940
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License Number State | CA
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