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General NPI Number Information
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NPI Number | 1093516395
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Entity Type | Individual
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Provider Name | JOSE MANUEL RANGEL JR. PTA
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Gender | Male
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Dates
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Enumeration Date | 03/22/2025
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Last Update Date | 03/22/2025
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Provider Practice Location Address
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Address Line | 1604 BLOSSOM HILL RD STE 8
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City | SAN JOSE
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State | CA
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Zip | 95124-6350
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Country | US
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Telephone | 408-528-8833
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Fax |
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Provider Business Mailing Address
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Address Line | 77 N ALMADEN AVE APT 514
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City | SAN JOSE
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State | CA
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Zip | 95110-4101
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Country | US
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Telephone | 805-863-3018
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 48892
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License Number State | CA
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