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General NPI Number Information
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NPI Number | 1942369038
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Entity Type | Individual
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Provider Name | JOAN MARIE RICHTER OTR
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 23929 MCBEAN PKWY
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City | VALENCIA
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State | CA
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Zip | 91355-4466
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Country | US
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Telephone | 661-799-8623
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Fax | 661-799-9871
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Provider Business Mailing Address
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Address Line | 30771 SLOAN CANYON RD
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City | CASTAIC
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State | CA
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Zip | 91384-3444
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Country | US
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Telephone | 661-294-7991
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Fax | 661-799-9871
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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 | OT1810
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License Number State | CA
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