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General NPI Number Information
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NPI Number | 1104365600
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Entity Type | Individual
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Provider Name | SARA JAJJO PHYSICAL THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 5565 GROSSMONT CENTER DR BUILDING 3, SUITE 360
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City | LA MESA
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State | CA
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Zip | 91942
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Country | US
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Telephone | 619-315-0035
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Fax | 619-315-0035
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Provider Business Mailing Address
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Address Line | 10961 CHARING CROSS RD
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City | SPRING VALLEY
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State | CA
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Zip | 91978-1209
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Country | US
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Telephone | 619-244-8829
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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 | 298384
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501018054
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License Number State | MI
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