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General NPI Number Information
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NPI Number | 1932400496
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Entity Type | Individual
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Provider Name | LORI KAY STOTKO OTR CHT
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Gender | Female
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Dates
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Enumeration Date | 11/15/2010
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Last Update Date | 11/15/2010
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Provider Practice Location Address
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Address Line | 1155 UNIVERSITY DR SUITE 1
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City | MENLO PARK
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State | CA
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Zip | 94025-4431
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Country | US
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Telephone | 650-245-2844
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Fax | 650-326-5929
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Provider Business Mailing Address
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Address Line | 7 SEA BREEZE DR
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City | HALF MOON BAY
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State | CA
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Zip | 94019-2313
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Country | US
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Telephone | 650-245-2844
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Fax | 650-712-0419
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 521
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License Number State | CA
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