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NPI 1649828716

NPI 1649828716 : ALL HANDS OT L.L.C : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1649828716
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALL HANDS OT L.L.C 
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Dates
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    Enumeration Date     |    08/30/2019
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    Last Update Date     |    08/30/2019
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Provider Practice Location Address
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    Address Line         |    12648 CAMINITO DESTELLO 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92130-2811
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    Country              |    US
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    Telephone            |    858-281-8228
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12648 CAMINITO DESTELLO 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92130-2811
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    Country              |    US
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    Telephone            |    858-281-8228
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OCCUPATIONAL THERAPIST
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    Name                 |     TALY  GALOR 
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    Credential           |    OTRL
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    Telephone            |    858-281-8228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QC1500X
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    Taxonomy Name        |    Community Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    
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    License Number State |    
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