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General NPI Number Information
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NPI Number | 1689326241
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Entity Type | Individual
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Provider Name | JERREL I GUZMAN OTR/L
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Gender | Male
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 21414 S VERMONT AVE # 90502
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City | TORRANCE
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State | CA
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Zip | 90502-1935
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Country | US
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Telephone | 310-320-8714
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Fax |
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Provider Business Mailing Address
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Address Line | 2843 DEL AMO BLVD
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City | LAKEWOOD
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State | CA
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Zip | 90712-2924
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Country | US
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Telephone | 562-841-3967
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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 |
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License Number State | CA
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