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General NPI Number Information
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NPI Number | 1225319478
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Entity Type | Individual
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Provider Name | FRANCISCO T PIMENTEL P.T.A.
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Gender | Male
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 420 HEFFERNAN AVE STE 2-B
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City | CALEXICO
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State | CA
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Zip | 92231-4718
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Country | US
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Telephone | 760-768-4100
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Fax | 760-768-6900
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Provider Business Mailing Address
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Address Line | 420 HEFFERNAN AVE STE 2-B
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City | CALEXICO
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State | CA
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Zip | 92231-4718
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Country | US
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Telephone | 760-768-4100
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Fax | 760-768-6900
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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 | AT 3780
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License Number State | CA
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