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General NPI Number Information
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NPI Number | 1952725798
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Entity Type | Individual
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Provider Name | JAMIE REBECCA GILMORE M.A., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/14/2014
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 8 PASTEUR
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City | IRVINE
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State | CA
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Zip | 92618-3814
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Country | US
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Telephone | 949-788-9236
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Fax |
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Provider Business Mailing Address
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Address Line | 1740 MISSOURI ST
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City | COSTA MESA
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State | CA
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Zip | 92626-2214
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Country | US
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Telephone | 949-300-6345
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 14047
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License Number State | CA
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