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General NPI Number Information
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NPI Number | 1811434640
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Entity Type | Individual
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Provider Name | LISA B SERBY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/31/2017
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 1900 STATE ST SUITE K
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2429
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Country | US
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Telephone | 805-450-5805
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Fax |
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Provider Business Mailing Address
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Address Line | 224 ENTRANCE RD UNIT 2
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City | GOLETA
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State | CA
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Zip | 93117-2777
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Country | US
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Telephone | 805-450-5805
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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 | OT 6341
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT 6341
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License Number State | CA
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