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General NPI Number Information
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NPI Number | 1790647154
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Entity Type | Organization
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Legal Business Name | SILVER BEAR OT SERVICES
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 328 ELIOT LANE
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City | LONG BEACH
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State | CA
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Zip | 90814
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Country | US
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Telephone | 626-600-1045
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Fax |
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Provider Business Mailing Address
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Address Line | 328 ELIOT LN
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City | LONG BEACH
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State | CA
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Zip | 90814-3117
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Country | US
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Telephone | 626-600-1045
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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 | KELLY BOYLE
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Credential | OTR/L
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Telephone | 626-600-1045
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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 |
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License Number State |
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