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General NPI Number Information
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NPI Number | 1336388644
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Entity Type | Individual
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Provider Name | ETHELIND CACHO CAHIGAS PT
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Gender | Female
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Dates
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Enumeration Date | 02/10/2009
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 2180 W GRANT LINE RD STE 100
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City | TRACY
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State | CA
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Zip | 95377-7343
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Country | US
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Telephone | 925-463-0470
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Fax |
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Provider Business Mailing Address
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Address Line | 2180 W GRANT LINE RD STE 100
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City | TRACY
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State | CA
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Zip | 95377-7343
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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 |
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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 | 39210
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License Number State | CA
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