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General NPI Number Information
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NPI Number | 1306287305
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Entity Type | Organization
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Legal Business Name | SEAN TRUJILLO MPT INC
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 1413 BAILEY ST STE A
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City | HANFORD
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State | CA
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Zip | 93230-5943
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Country | US
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Telephone | 559-280-9411
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Fax |
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Provider Business Mailing Address
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Address Line | 1413 BAILEY ST STE A
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City | HANFORD
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State | CA
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Zip | 93230-5943
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SEAN TRUJILLO
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Credential |
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Telephone | 559-280-9411
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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 |
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License Number State |
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