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General NPI Number Information
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NPI Number | 1699289231
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Entity Type | Individual
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Provider Name | EVELYN LAW OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/17/2017
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Last Update Date | 11/17/2017
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Provider Practice Location Address
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Address Line | 1540 ALCAZAR ST LOS ANGELES CA 90089
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City | LOS ANGELES
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State | CA
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Zip | 90089-0001
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Country | US
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Telephone | 323-442-1529
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Fax |
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Provider Business Mailing Address
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Address Line | 1805 W SHORB ST
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City | ALHAMBRA
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State | CA
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Zip | 91803-2045
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Country | US
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Telephone | 626-716-7995
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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 | 18069
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License Number State | CA
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