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General NPI Number Information
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NPI Number | 1346494861
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Entity Type | Individual
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Provider Name | RUTH HOLGADO PT
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Gender | Female
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 250 HOSPITAL PKWY
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City | SAN JOSE
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State | CA
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Zip | 95119-1103
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Country | US
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Telephone | 408-972-7235
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Fax |
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Provider Business Mailing Address
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Address Line | 230 WATSON DR APT 2
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City | CAMPBELL
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State | CA
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Zip | 95008-1307
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Country | US
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Telephone | 650-303-6623
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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 | PT35087
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License Number State | CA
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