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General NPI Number Information
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NPI Number | 1326723156
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Entity Type | Individual
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Provider Name | ZERRICK JESUS SANTOS
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Gender | Male
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 301 INDUSTRIAL RD STE 190
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City | SAN CARLOS
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State | CA
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Zip | 94070-2603
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Country | US
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Telephone | 650-632-0816
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Fax | 650-551-7039
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Provider Business Mailing Address
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Address Line | 138 E 53RD ST
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City | LONG BEACH
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State | CA
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Zip | 90805-5926
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Country | US
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Telephone | 562-688-8571
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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 | 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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