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General NPI Number Information
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NPI Number | 1952950305
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Entity Type | Individual
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Provider Name | RIZA ESTARDO
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Gender | Female
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Dates
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Enumeration Date | 09/09/2019
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 911 BERN CT STE 130
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City | SAN JOSE
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State | CA
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Zip | 95112-1242
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Country | US
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Telephone | 408-437-8864
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 E ORANGEWOOD AVE
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City | ANAHEIM
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State | CA
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Zip | 92805-6807
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Country | US
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Telephone | 800-249-1266
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 5873
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License Number State | CA
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