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General NPI Number Information
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NPI Number | 1962451906
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Entity Type | Individual
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Provider Name | BERNICE N. MONTOYA O.T.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12215 TELEGRAPH RD #110
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-3344
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Country | US
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Telephone | 562-777-1333
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Fax | 562-777-1347
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Provider Business Mailing Address
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Address Line | 5962 LA PLACE CT STE 170
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City | CARLSBAD
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State | CA
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Zip | 92008-8807
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Country | US
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Telephone | 800-929-4776
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Fax | 760-931-8370
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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 | OT 5089
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License Number State | CA
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