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General NPI Number Information
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NPI Number | 1962983080
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Entity Type | Individual
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Provider Name | RUBI REYES
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Gender | Female
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 48037 ESTRELLA TOMAS
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City | COACHELLA
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State | CA
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Zip | 92236-6307
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Country | US
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Telephone | 760-574-3522
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Fax |
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Provider Business Mailing Address
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Address Line | 48037 ESTRELLA TOMAS
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City | COACHELLA
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State | CA
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Zip | 92236-6307
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Country | US
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Telephone | 760-574-3522
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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 | OT010300
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 16189
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT-1729
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 354733
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License Number State | OR
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