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General NPI Number Information
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NPI Number | 1740519255
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Entity Type | Individual
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Provider Name | SHERYL LORENZO OTR/L, CHT
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Gender | Female
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Dates
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Enumeration Date | 12/11/2009
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 955 LANE AVE STE 201
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City | CHULA VISTA
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State | CA
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Zip | 91914-4525
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Country | US
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Telephone | 619-421-9521
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Fax |
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Provider Business Mailing Address
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Address Line | 955 LANE AVE STE 201
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City | CHULA VISTA
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State | CA
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Zip | 91914-4525
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Country | US
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Telephone | 619-421-9521
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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 | 6172
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 14042
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License Number State | CA
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