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General NPI Number Information
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NPI Number | 1801007091
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Entity Type | Organization
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Legal Business Name | OTOL INC
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Dates
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Enumeration Date | 05/27/2007
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Last Update Date | 10/14/2007
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Provider Practice Location Address
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Address Line | 13636 VENTURA BLVD 420
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-3700
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Country | US
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Telephone | 818-763-9997
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Fax | 818-763-9979
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Provider Business Mailing Address
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Address Line | 13636 VENTURA BLVD 420
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-3700
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Country | US
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Telephone | 818-763-9997
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Fax | 818-763-9979
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Authorized Official
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Title or Position | OWNER
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Name | MS. SANDRA BETH MILTON
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Credential | MA, CCC-SLP,CCM
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Telephone | 818-763-9997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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