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General NPI Number Information
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NPI Number | 1780761288
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Entity Type | Individual
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Provider Name | DEBRA LAWSON OTR
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 23232 PERALTA STE # 113 PACIFIC THERAPEUTIC
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City | LAGUNA HILLS
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State | CA
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Zip | 92653
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Country | US
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Telephone | 949-929-5092
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Fax | 949-831-2975
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Provider Business Mailing Address
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Address Line | 15185 CHERBOURG AVE
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City | IRVINE
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State | CA
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Zip | 92604
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Country | US
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Telephone | 949-838-6917
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Fax | 949-387-3313
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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 | OT6960
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 987570
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License Number State | CA
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