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General NPI Number Information
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NPI Number | 1801299565
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Entity Type | Individual
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Provider Name | EMILY BLOCK
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Gender | Female
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Dates
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Enumeration Date | 10/08/2014
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Last Update Date | 10/11/2017
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Provider Practice Location Address
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Address Line | 26302 LA PAZ RD STE 105
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City | MISSION VIEJO
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State | CA
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Zip | 92691-5327
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Country | US
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Telephone | 949-206-1700
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Fax | 949-206-1800
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Provider Business Mailing Address
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Address Line | 200 NEWPORT CENTER DR STE 213
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7503
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Country | US
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Telephone | 949-644-0316
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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 |
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License Number State |
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