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General NPI Number Information
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NPI Number | 1326618083
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Entity Type | Organization
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Legal Business Name | JACOBO PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 06/25/2021
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 3850 RIVERLAKES DR
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City | BAKERSFIELD
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State | CA
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Zip | 93312-6662
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Country | US
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Telephone | 661-529-2303
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Fax |
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Provider Business Mailing Address
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Address Line | 6808 NORRIS RD
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City | BAKERSFIELD
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State | CA
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Zip | 93308-2047
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Country | US
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Telephone | 661-805-1348
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST ASSISTANT
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Name | FERNANDO GARCIA-RODRIGUEZ
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Credential |
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Telephone | 661-805-1348
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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 |
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License Number State |
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