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General NPI Number Information
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NPI Number | 1912779315
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Entity Type | Individual
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Provider Name | EMMA JEAN SPENCER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/27/2023
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 1601 NEW STINE RD
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City | BAKERSFIELD
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State | CA
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Zip | 93309-3696
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Country | US
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Telephone | 323-426-6402
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 WENATCHEE AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93306-2049
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Country | US
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Telephone | 773-710-4542
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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 | OT24650
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License Number State | CA
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