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General NPI Number Information
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NPI Number | 1821577966
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Entity Type | Individual
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Provider Name | ELLEN HANES STEIN I OT
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Gender | Female
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 21966 DOLORES ST
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-6900
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Country | US
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Telephone | 510-733-2413
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Fax | 510-583-1263
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Provider Business Mailing Address
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Address Line | 10 APPLEGATE WAY
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City | ALAMEDA
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State | CA
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Zip | 94502-7714
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Country | US
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Telephone | 510-865-3241
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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 | OT164
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License Number State | CA
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