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General NPI Number Information
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NPI Number | 1598353351
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Entity Type | Individual
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Provider Name | DANIELLE CHRISTINA ROE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 98 BOSWORTH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94112-1002
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Country | US
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Telephone | 979-704-5561
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Fax |
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Provider Business Mailing Address
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Address Line | 303 BASSWOOD CMN
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City | LIVERMORE
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State | CA
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Zip | 94551-6488
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Country | US
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Telephone | 925-989-9474
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 26745
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License Number State | CA
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