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NPI 1700781747

NPI 1700781747 : CHARISSE ALIMAGNO LVN, COTA/L : TORRANCE, CA

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General NPI Number Information
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    NPI Number           |    1700781747
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    Entity Type          |    Individual 
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    Provider Name        |    CHARISSE ALIMAGNO LVN, COTA/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/09/2026
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    Last Update Date     |    10/09/2026
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Provider Practice Location Address
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    Address Line         |    21414 S VERMONT AVE 
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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                  |    310-320-8714
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Provider Business Mailing Address
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    Address Line         |    12141 CENTRALIA ST UNIT 304 
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    City                 |    LAKEWOOD
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    State                |    CA
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    Zip                  |    90715-1566
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    Country              |    US
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    Telephone            |    424-364-8144
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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        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    4044
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    License Number State |    CA
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