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General NPI Number Information
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NPI Number | 1962125278
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Entity Type | Individual
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Provider Name | KATHLEEN FITZGERALD DALY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 39400 PASEO PADRE PKWY
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City | FREMONT
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State | CA
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Zip | 94538-2310
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Country | US
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Telephone | 510-248-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 488 WINSLOW ST
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City | REDWOOD CITY
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State | CA
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Zip | 94063-1847
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Country | US
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Telephone | 856-236-6017
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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 | 21294
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License Number State | CA
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