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General NPI Number Information
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NPI Number | 1326432881
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Entity Type | Organization
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Legal Business Name | KRISTINA LAGANA
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Dates
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Enumeration Date | 03/23/2015
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Last Update Date | 03/23/2015
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Provider Practice Location Address
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Address Line | 15405 LOS GATOS BLVD SUITE 101
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City | LOS GATOS
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State | CA
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Zip | 95032-2500
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Country | US
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Telephone | 408-444-7422
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Fax | 408-498-5842
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Provider Business Mailing Address
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Address Line | 15405 LOS GATOS BLVD SUITE 101
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City | LOS GATOS
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State | CA
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Zip | 95032-2500
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Country | US
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Telephone | 408-444-7422
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Fax | 408-498-5842
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Authorized Official
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Title or Position | PHYSICAL THERAPIST, OWNER
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Name | KRISTINA LAGANA
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Credential | PT
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Telephone | 408-444-7422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 35213
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License Number State | CA
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