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General NPI Number Information
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NPI Number | 1184573453
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Entity Type | Individual
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Provider Name | NIMOTALLAH ABDURRAZAQ
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Gender | Female
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 450 E ROMIE LANE
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City | SALINAS
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State | CA
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Zip | 93901
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Country | US
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Telephone | 831-757-4333
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Fax |
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Provider Business Mailing Address
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Address Line | 505 SADLEIR WAY APT 10
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City | RENO
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State | NV
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Zip | 89512-2331
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Country | US
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Telephone | 443-680-2347
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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 | PT309435
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License Number State | CA
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