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General NPI Number Information
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NPI Number | 1982102752
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Entity Type | Individual
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Provider Name | YAEL AMZALLAG OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/26/2018
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Last Update Date | 01/26/2018
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Provider Practice Location Address
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Address Line | 5359 BALBOA BLVD STE A
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City | ENCINO
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State | CA
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Zip | 91316-2834
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Country | US
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Telephone | 818-849-5396
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Fax |
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Provider Business Mailing Address
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Address Line | 15009 MOORPARK ST APT 204
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-5405
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Country | US
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Telephone | 818-923-0918
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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 |
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License Number State | CA
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