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General NPI Number Information
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NPI Number | 1790955243
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Entity Type | Individual
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Provider Name | JANTI RASHTI M.T, L.T.
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Gender | Female
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 11819 WILSHIRE BLVD STE 205
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City | LOS ANGELES
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State | CA
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Zip | 90025-6631
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Country | US
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Telephone | 310-882-0073
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Fax |
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Provider Business Mailing Address
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Address Line | 1424 3/4 17TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90404-2802
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Country | US
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Telephone | 310-449-0196
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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 | 1939211
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License Number State | CA
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