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General NPI Number Information
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NPI Number | 1104378348
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Entity Type | Individual
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Provider Name | JAVIER MARGARITO JR. MA, ATC, CMT
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Gender | Male
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Dates
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Enumeration Date | 11/03/2016
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 26800 W FREMONT RD
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City | LOS ALTOS HILLS
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State | CA
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Zip | 94022-1919
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Country | US
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Telephone | 650-209-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 26800 W FREMONT RD
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City | LOS ALTOS HILLS
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State | CA
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Zip | 94022-1919
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Country | US
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Telephone | 650-209-3131
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 24271
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | BOC 2000002355
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License Number State | NE
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