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General NPI Number Information
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NPI Number | 1386490761
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Entity Type | Organization
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Legal Business Name | DEL DIOS THERAPY, LLC
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 3140 EL CAMINO REAL
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City | CARLSBAD
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State | CA
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Zip | 92008-2108
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Country | US
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Telephone | 760-720-9898
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Fax |
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Provider Business Mailing Address
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Address Line | 1817 AVENIDA DEL DIABLO
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City | ESCONDIDO
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State | CA
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Zip | 92029-3112
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Country | US
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Telephone | 442-277-0190
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | SARA DEVINE STIGLICH
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Credential | OTR/L
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Telephone | 760-580-4007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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