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General NPI Number Information
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NPI Number | 1851514681
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Entity Type | Individual
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Provider Name | EDIE BARR TALMADGE O.T.R.L
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 145 HODENCAMP RD STE 100
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-5810
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Country | US
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Telephone | 805-449-3481
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Fax | 805-449-3481
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Provider Business Mailing Address
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Address Line | 5860 CARELL AVE
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City | AGOURA HILLS
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State | CA
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Zip | 91301-2127
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Country | US
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Telephone | 805-449-3481
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Fax | 805-449-3488
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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 | 2712
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License Number State | CA
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