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General NPI Number Information
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NPI Number | 1922248228
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Entity Type | Individual
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Provider Name | BRIYITH KATERINE AVALOS M.S. OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/26/2009
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | UNIT 5115 BOX 48TH
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City | APO
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State | AE
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Zip | 09461-5115
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Country | US
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Telephone | 314-226-8124
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Fax |
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Provider Business Mailing Address
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Address Line | UNIT 5115 BOX TH
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City | APO
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State | AE
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Zip | 09461-5115
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Country | US
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Telephone |
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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 | 15208
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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