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General NPI Number Information
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NPI Number | 1700029451
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Entity Type | Organization
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Legal Business Name | SAFARI SENSORY INTEGRATION AND LEARNING CENTER
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Dates
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Enumeration Date | 04/10/2009
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Last Update Date | 04/10/2009
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Provider Practice Location Address
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Address Line | 7413 N CEDAR AVE SUITE 102
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City | FRESNO
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State | CA
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Zip | 93720-3833
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Country | US
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Telephone | 559-449-1557
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Fax | 559-449-1557
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Provider Business Mailing Address
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Address Line | 7413 N CEDAR AVE SUITE 102
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City | FRESNO
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State | CA
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Zip | 93720-3833
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Country | US
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Telephone | 559-449-1557
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Fax | 559-449-1557
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ELSABE AMELIA KRUGER
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Credential | OTR/L; CSI; CPAM.
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Telephone | 559-449-1557
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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 | OT2288
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License Number State | CA
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