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General NPI Number Information
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NPI Number | 1225926199
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Entity Type | Individual
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Provider Name | NICOLE AKANE MURANAGA DPT
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Gender | Female
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1941 OFARRELL ST STE 115
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City | SAN MATEO
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State | CA
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Zip | 94403-1374
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Country | US
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Telephone | 650-343-5678
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Fax |
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Provider Business Mailing Address
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Address Line | 2196 QUEENS LN
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City | SAN MATEO
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State | CA
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Zip | 94402-3933
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Country | US
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Telephone | 650-504-4406
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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 | 308216
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License Number State | CA
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