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General NPI Number Information
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NPI Number | 1942485107
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Entity Type | Individual
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Provider Name | ELSABE AMELIA KRUGER OTR/L; CSI; CPAM
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Gender | Female
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 7413 N CEDAR AVE SUITE 102
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City | FRESNO
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State | CA
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Zip | 93720
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Country | US
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Telephone | 559-449-1557
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Fax | 559-297-4428
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Provider Business Mailing Address
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Address Line | 7413 N CEDAR AVE SUITE 102
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City | FRESNO
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State | CA
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Zip | 93720-3833
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Country | US
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Telephone | 559-449-1557
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Fax | 559-297-4428
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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 | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT00002288
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License Number State | CA
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