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General NPI Number Information
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NPI Number | 1356207385
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Entity Type | Individual
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Provider Name | ANDREW JAVIER
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Gender |
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Dates
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Enumeration Date | 01/03/2026
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 3533 MOTOR AVE # 403
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City | LOS ANGELES
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State | CA
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Zip | 90034-4806
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Country | US
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Telephone | 310-836-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 3118 S DURANGO AVE APT 5
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City | LOS ANGELES
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State | CA
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Zip | 90034-8522
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Country | US
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Telephone | 562-746-2636
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 50238
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License Number State | CA
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