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General NPI Number Information
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NPI Number | 1285662288
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Entity Type | Organization
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Legal Business Name | SANDOVAL FARFAN INTERPRISE
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3636 N 1ST ST STE 160
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City | FRESNO
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State | CA
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Zip | 93726-6869
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Country | US
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Telephone | 559-225-5882
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Fax | 559-225-2036
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Provider Business Mailing Address
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Address Line | 3636 N 1ST ST STE 160
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City | FRESNO
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State | CA
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Zip | 93726-6869
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Country | US
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Telephone | 559-225-5882
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Fax | 559-225-2036
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. CERAFINA FARFAN
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Credential |
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Telephone | 559-225-5882
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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 | PT6869
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT901
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT 1446
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License Number State | CA
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