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General NPI Number Information
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NPI Number | 1679428940
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Entity Type | Individual
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Provider Name | DANIELLE ROSE POTOP OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 10045 JUMILLA AVE
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City | CHATSWORTH
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State | CA
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Zip | 91311-3507
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Country | US
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Telephone | 818-350-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 184 HIGH ST STE 701
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City | BOSTON
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State | MA
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Zip | 02110-3025
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Country | US
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Telephone | 818-723-5864
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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 | OT25488
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License Number State | CA
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