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General NPI Number Information
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NPI Number | 1699402206
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Entity Type | Individual
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Provider Name | HELEINNA ABIGAEL CRUZ
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Gender | Female
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 4647 ZION AVE
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City | SAN DIEGO
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State | CA
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Zip | 92120-2507
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Country | US
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Telephone | 833-574-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 7 BEECHWOOD DR
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City | NORTH HAVEN
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State | CT
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Zip | 06473-2003
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Country | US
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Telephone | 203-503-1271
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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 |
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