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NPI 1841152576

NPI 1841152576 : VALERIE PATRICIA MARIA PEREZ OTR/L : SANTA ROSA, CA

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General NPI Number Information
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    NPI Number           |    1841152576
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    Entity Type          |    Individual 
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    Provider Name        |    VALERIE PATRICIA MARIA PEREZ OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/01/2025
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    Last Update Date     |    12/01/2025
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Provider Practice Location Address
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    Address Line         |    340 TESCONI CIR STE C 
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    City                 |    SANTA ROSA
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    State                |    CA
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    Zip                  |    95401-4676
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    Country              |    US
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    Telephone            |    707-546-9160
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    Fax                  |    707-546-1338
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Provider Business Mailing Address
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    Address Line         |    340 TESCONI CIR STE C 
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    City                 |    SANTA ROSA
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    State                |    CA
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    Zip                  |    95401-4676
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    Country              |    US
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    Telephone            |    707-546-9160
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    Fax                  |    707-546-1338
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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        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    10469
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    License Number State |    CA
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