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General NPI Number Information
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NPI Number | 1194525667
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Entity Type | Individual
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Provider Name | FRANCISCO MIRANDA PTA
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Gender | Male
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 43979 15TH ST W
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City | LANCASTER
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State | CA
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Zip | 93534-4635
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Country | US
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Telephone | 661-522-3711
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Fax | 661-522-3114
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Provider Business Mailing Address
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Address Line | 44501 16TH ST W STE 107
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City | LANCASTER
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State | CA
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Zip | 93534-2884
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Country | US
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Telephone | 661-974-7033
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Fax | 661-522-3114
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 51109
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License Number State | CA
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