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General NPI Number Information
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NPI Number | 1629951058
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Entity Type | Individual
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Provider Name | JODI SEGUIN
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Gender | Female
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 9025 COLORADO AVE
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City | RIVERSIDE
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State | CA
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Zip | 92503-2157
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Country | US
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Telephone | 951-515-1691
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Fax |
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Provider Business Mailing Address
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Address Line | 1263 LONGPORT WAY
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City | CORONA
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State | CA
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Zip | 92881-0982
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Country | US
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Telephone |
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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 |
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License Number State | CA
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