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General NPI Number Information
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NPI Number | 1255219606
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Entity Type | Individual
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Provider Name | KOBE JMET VALENCIA REAL
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Gender | Male
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 850 WEBSTER ST
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City | PALO ALTO
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State | CA
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Zip | 94301-2849
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Country | US
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Telephone | 650-327-0950
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Fax |
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Provider Business Mailing Address
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Address Line | 37171 SYCAMORE ST APT 720
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City | NEWARK
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State | CA
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Zip | 94560-5908
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Country | US
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Telephone | 510-586-8584
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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 | 308774
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License Number State | CA
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