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General NPI Number Information
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NPI Number | 1093466286
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Entity Type | Individual
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Provider Name | SARA CHANDA MAGWENE HIRAHARA DPT
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Gender | Female
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 01/10/2022
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Provider Practice Location Address
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Address Line | 913 E WALNUT ST OFC 10
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City | PASADENA
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State | CA
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Zip | 91106-1720
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Country | US
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Telephone | 323-428-3952
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Fax |
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Provider Business Mailing Address
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Address Line | 704 N DOS ROBLES PL
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City | ALHAMBRA
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State | CA
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Zip | 91801-1215
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Country | US
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Telephone | 323-428-3952
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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 | 298259
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License Number State | CA
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