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General NPI Number Information
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NPI Number | 1659250371
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Entity Type | Individual
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Provider Name | TERESE SPELTZ
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Gender | Female
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 3135 SEACREST AVE
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City | MARINA
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State | CA
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Zip | 93933-3058
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Country | US
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Telephone | 831-373-3716
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Fax |
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Provider Business Mailing Address
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Address Line | 1660 ROCKHURST LN
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City | CINCINNATI
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State | OH
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Zip | 45255-2637
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Country | US
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Telephone | 507-530-2228
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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 | 7089
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License Number State | CA
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