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General NPI Number Information
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NPI Number | 1659266542
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Entity Type | Individual
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Provider Name | JENNIFER BAUTISTA MERCADO OTR/L
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Gender |
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 6939 ALABAMA AVE UNIT 210
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City | CANOGA PARK
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State | CA
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Zip | 91303-2074
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Country | US
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Telephone | 818-633-4703
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Fax |
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Provider Business Mailing Address
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Address Line | 6939 ALABAMA AVE UNIT 210
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City | CANOGA PARK
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State | CA
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Zip | 91303-2074
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Country | US
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Telephone | 818-633-4703
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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 | 16748
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License Number State | CA
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