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General NPI Number Information
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NPI Number | 1043649387
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Entity Type | Individual
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Provider Name | CASSANDRA JAOJOCO PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 05/20/2022
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Provider Practice Location Address
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Address Line | 11700 SOUTH ST STE 200
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City | ARTESIA
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State | CA
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Zip | 90701-6619
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Country | US
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Telephone | 562-468-0088
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Fax |
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Provider Business Mailing Address
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Address Line | 18377 BEACH BLVD STE 216
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1349
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 40669
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License Number State | CA
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