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General NPI Number Information
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NPI Number | 1154845295
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Entity Type | Individual
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Provider Name | MARION KABILING BS, PTA, ATC
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Gender | Female
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 30085 COMERCIO
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-2106
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Country | US
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Telephone | 949-766-8535
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Fax |
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Provider Business Mailing Address
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Address Line | 23001 DEL LAGO DR STE C1
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1354
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Country | US
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Telephone | 949-387-7333
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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 | 48822
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License Number State | CA
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