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General NPI Number Information
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NPI Number | 1265341598
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Entity Type | Individual
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Provider Name | HARONE SANGCOPAN
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Gender | Male
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 2437 FENTON ST STE B
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City | CHULA VISTA
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State | CA
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Zip | 91914-3517
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Country | US
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Telephone | 619-656-5176
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Fax |
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Provider Business Mailing Address
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Address Line | 6991 PARADISE VALLEY RD APT 121
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City | SAN DIEGO
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State | CA
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Zip | 92139-4303
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Country | US
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Telephone | 619-944-5548
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 55137
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License Number State | CA
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