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General NPI Number Information
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NPI Number | 1922969195
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Entity Type | Individual
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Provider Name | AMBER PRADO
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Gender |
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1831 CAMINO DEL LLANO
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City | BELEN
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State | NM
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Zip | 87002-2619
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Country | US
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Telephone | 505-864-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 9604 STAFFORDSHIRE WAY
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City | BAKERSFIELD
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State | CA
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Zip | 93312-4303
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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 | OT-2025-0199
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License Number State | NM
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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 | 23881
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License Number State | CA
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