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NPI 1811737067

NPI 1811737067 : ARACELI MALDONADO OTR/L : EL CAJON, CA

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General NPI Number Information
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    NPI Number           |    1811737067
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    Entity Type          |    Individual 
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    Provider Name        |    ARACELI MALDONADO OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/27/2024
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    Last Update Date     |    05/27/2024
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Provider Practice Location Address
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    Address Line         |    260 E CHASE AVE STE 204 
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    City                 |    EL CAJON
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    State                |    CA
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    Zip                  |    92020-6300
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    Country              |    US
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    Telephone            |    619-647-6157
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    25885 TRABUCO RD APT 238 
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    City                 |    LAKE FOREST
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    State                |    CA
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    Zip                  |    92630-6650
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    Country              |    US
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    Telephone            |    949-813-8967
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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       |    26377
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    License Number State |    CA
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