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General NPI Number Information
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NPI Number | 1669959557
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Entity Type | Individual
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Provider Name | GABRIELLE SPINOSA
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Gender | Female
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 17400 MONTEREY RD
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City | MORGAN HILL
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State | CA
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Zip | 95037-7318
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Country | US
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Telephone | 408-773-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 2731 BARLOW DR
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-3207
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Country | US
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Telephone | 203-610-5714
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 18856
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License Number State | CA
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