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General NPI Number Information
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NPI Number | 1003077959
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Entity Type | Individual
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Provider Name | JOANNE DELOSREYES PHO P.T.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 250 HOSPITAL PKWY
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City | SAN JOSE
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State | CA
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Zip | 95119-1103
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Country | US
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Telephone | 408-972-7236
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Fax |
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Provider Business Mailing Address
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Address Line | 42659 EVERGLADES PARK DR
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City | FREMONT
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State | CA
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Zip | 94538-3925
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT60080887
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 32937
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License Number State | CA
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