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General NPI Number Information
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NPI Number | 1083259386
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Entity Type | Individual
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Provider Name | VIRGIL CHRISTOPHER JUNIO II PA
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Gender | Male
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Dates
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Enumeration Date | 11/10/2019
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Last Update Date | 02/05/2022
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Provider Practice Location Address
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Address Line | 19735 COLLINS RD
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City | CANYON COUNTRY
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State | CA
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Zip | 91351-4824
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Country | US
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Telephone | 661-373-0786
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Fax |
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Provider Business Mailing Address
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Address Line | 19735 COLLINS RD
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City | CANYON COUNTRY
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State | CA
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Zip | 91351-4824
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Country | US
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Telephone | 661-373-0786
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 57701
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License Number State | CA
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