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General NPI Number Information
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NPI Number | 1720942832
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Entity Type | Individual
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Provider Name | PEGGY LEE MSOT, M.ED
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Gender | Female
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 4825 MORENO ST
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City | MONTCLAIR
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State | CA
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Zip | 91763-1419
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Country | US
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Telephone | 909-445-1661
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Fax |
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Provider Business Mailing Address
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Address Line | 2142 OAK CANYON LN
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City | CHINO HILLS
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State | CA
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Zip | 91709-2367
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Country | US
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Telephone |
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 14719
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License Number State | CA
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