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General NPI Number Information
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NPI Number | 1609526946
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Entity Type | Individual
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Provider Name | GUISSELLA XOL
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Gender | Female
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 190 SIERRA CT STE B6
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City | PALMDALE
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State | CA
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Zip | 93550-7608
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Country | US
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Telephone | 323-505-6985
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Fax |
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Provider Business Mailing Address
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Address Line | 7850 S NORMANDIE AVE APT 16
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City | LOS ANGELES
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State | CA
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Zip | 90044-2374
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Country | US
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Telephone | 323-407-0245
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 4848
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License Number State | CA
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