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General NPI Number Information
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NPI Number | 1033071881
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Entity Type | Individual
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Provider Name | ANTHONY MALABANAN DULAY PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 3701 BROADWAY
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City | OAKLAND
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State | CA
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Zip | 94611-5613
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Country | US
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Telephone | 510-752-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2981 PILAR RIDGE DR
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City | BAY POINT
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State | CA
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Zip | 94565-7677
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Country | US
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Telephone | 925-642-6845
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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 | 309335
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License Number State | CA
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