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General NPI Number Information
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NPI Number | 1558279745
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Entity Type | Individual
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Provider Name | MIEL JUAN KRAUSS OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 1975 VERDUGO BLVD STE D
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City | LA CANADA FLINTRIDGE
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State | CA
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Zip | 91011-3024
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Country | US
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Telephone | 818-864-6602
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Fax |
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Provider Business Mailing Address
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Address Line | 352 MYRTLE ST APT 2
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City | GLENDALE
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State | CA
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Zip | 91203-2262
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Country | US
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Telephone | 808-640-4565
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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 | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number | 28549
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 28549
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 28549
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 28549
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License Number State | CA
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