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General NPI Number Information
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NPI Number | 1053116947
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Entity Type | Individual
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Provider Name | JUSTIN JACOB SALDANA PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 02/15/2025
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Last Update Date | 02/15/2025
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Provider Practice Location Address
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Address Line | 2060 E FOOTHILL BLVD
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City | PASADENA
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State | CA
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Zip | 91107-3220
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Country | US
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Telephone | 626-795-2390
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Fax |
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Provider Business Mailing Address
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Address Line | 19724 TERESA CT
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City | CERRITOS
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State | CA
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Zip | 90703-7746
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Country | US
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Telephone | 562-852-9695
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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 | 307677
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License Number State | CA
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