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NPI 1629231030

NPI 1629231030 : MALIA KNAUSS OTR : THOUSAND OAKS, CA

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General NPI Number Information
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    NPI Number           |    1629231030
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    Entity Type          |    Individual 
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    Provider Name        |    MALIA KNAUSS OTR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/07/2008
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    Last Update Date     |    09/20/2022
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Provider Practice Location Address
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    Address Line         |    3575 N MOORPARK RD 
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    City                 |    THOUSAND OAKS
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    State                |    CA
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    Zip                  |    91360-2666
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    Country              |    US
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    Telephone            |    805-244-6722
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    107 N REINO RD STE 1051 
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    City                 |    NEWBURY PARK
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    State                |    CA
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    Zip                  |    91320-3710
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    Country              |    US
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    Telephone            |    805-558-7638
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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       |    10206
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    License Number State |    CA
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