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General NPI Number Information
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NPI Number | 1215052576
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Entity Type | Individual
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Provider Name | JOSE FOJAS DPT
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 23271 VERDUGO DR
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1347
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Country | US
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Telephone | 949-707-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 26721 MORENA DR
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6118
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Country | US
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Telephone |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT24682
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License Number State | CA
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