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General NPI Number Information
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NPI Number | 1932652278
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Entity Type | Individual
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Provider Name | ALEXANDRA GONZALEZ OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/03/2016
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Last Update Date | 02/15/2025
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Provider Practice Location Address
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Address Line | 6820 S CENTINELA AVE
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City | CULVER CITY
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State | CA
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Zip | 90230-6301
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Country | US
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Telephone | 310-337-7115
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Fax |
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Provider Business Mailing Address
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Address Line | 306 W EDGEWOOD DR STE A
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-4497
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Country | US
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Telephone | 619-571-7784
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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 | 119243
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License Number State | TX
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