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General NPI Number Information
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NPI Number | 1033949847
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Entity Type | Individual
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Provider Name | SARA KARINA NIEVES DPT
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Gender | Female
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Dates
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Enumeration Date | 08/06/2024
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 3750 CONVOY ST STE 201B
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City | SAN DIEGO
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State | CA
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Zip | 92111-3738
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Country | US
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Telephone | 858-302-2499
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Fax | 858-302-2501
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Provider Business Mailing Address
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Address Line | 3455 ADAMS AVE UNIT 2
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City | SAN DIEGO
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State | CA
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Zip | 92116-2433
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Country | US
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Telephone | 619-454-2466
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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 |
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License Number State |
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