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General NPI Number Information
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NPI Number | 1073312492
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Entity Type | Individual
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Provider Name | JONATHAN LINGAD NGO PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 386 E H ST
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City | CHULA VISTA
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State | CA
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Zip | 91910-7485
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Country | US
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Telephone | 619-482-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1875 PARADISE HILLS RD
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City | SAN DIEGO
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State | CA
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Zip | 92114-7843
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Country | US
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Telephone | 619-519-4886
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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 | 307656
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License Number State | CA
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