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General NPI Number Information
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NPI Number | 1730444233
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Entity Type | Organization
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Legal Business Name | ROSEMARY JOHNSON & ASSOCIATES CLINIC, INC.
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Dates
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Enumeration Date | 07/10/2012
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Last Update Date | 07/10/2012
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Provider Practice Location Address
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Address Line | 116 E WALNUT AVE
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City | MONROVIA
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State | CA
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Zip | 91016-3431
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Country | US
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Telephone | 626-357-9934
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Fax |
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Provider Business Mailing Address
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Address Line | 116 E WALNUT AVE
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City | MONROVIA
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State | CA
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Zip | 91016-3431
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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 | OCCUPATIONAL THERAPIST
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Name | MRS. PAULINE GOLDSBURY
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Credential |
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Telephone | 626-390-9260
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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 | 11242
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License Number State | CA
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