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General NPI Number Information
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NPI Number | 1346769965
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Entity Type | Individual
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Provider Name | MARIA ARLENE CASTRO ELLIOTT-MENDOZA MSPT
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Gender | Female
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Dates
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Enumeration Date | 09/14/2017
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 901 NEVIN AVE
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City | RICHMOND
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State | CA
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Zip | 94801-3143
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Country | US
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Telephone | 501-307-1660
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Fax |
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Provider Business Mailing Address
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Address Line | 1321 W LELAND RD
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City | BAY POINT
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State | CA
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Zip | 94565-4323
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Country | US
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Telephone | 707-515-9010
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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 | 38925
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License Number State | CA
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