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General NPI Number Information
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NPI Number | 1801442280
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Entity Type | Individual
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Provider Name | ALICIA FAY MAU OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/12/2019
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Last Update Date | 08/12/2019
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Provider Practice Location Address
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Address Line | 3418 LOMA VISTA RD
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City | VENTURA
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State | CA
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Zip | 93003-3016
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Country | US
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Telephone | 805-765-4773
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Fax |
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Provider Business Mailing Address
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Address Line | 16 COLUMBINE LN
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29928-4214
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Country | US
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Telephone | 703-517-8801
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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 | 5227
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License Number State | SC
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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 | 3905
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5327
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 118803
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 18457
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License Number State | CA
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