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General NPI Number Information
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NPI Number | 1386444784
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Entity Type | Individual
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Provider Name | STEPHANIE FROUSSINE
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Gender |
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 1020 TIERRA DEL REY # A1
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City | CHULA VISTA
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State | CA
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Zip | 91910-7886
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Country | US
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Telephone | 619-585-7104
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Fax |
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Provider Business Mailing Address
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Address Line | 15994 AVENTURINE LN
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City | CHINO
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State | CA
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Zip | 91708-9109
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Country | US
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Telephone | 626-404-4862
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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 | 51070
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License Number State | CA
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