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General NPI Number Information
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NPI Number | 1659233732
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Entity Type | Organization
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Legal Business Name | RAD KIDS OCCUPATIONAL THERAPY INC.
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 3900 BIRCH ST STE 103
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2226
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Country | US
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Telephone | 626-487-5272
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Fax |
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Provider Business Mailing Address
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Address Line | 1256 RUTLAND RD APT 1
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-4631
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Country | US
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Telephone | 626-487-5272
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTIN TAYLOR
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Credential | OTR/L
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Telephone | 626-487-5272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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