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General NPI Number Information
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NPI Number | 1386521078
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Entity Type | Individual
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Provider Name | CHERI ELAINE HARROLD PTA
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Gender | Female
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Dates
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Enumeration Date | 08/16/2025
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Last Update Date | 08/16/2025
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Provider Practice Location Address
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Address Line | 1020 TIERRA DEL REY STE 1A
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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 | 619-585-7106
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Provider Business Mailing Address
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Address Line | 648 VIA CURVADA
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City | CHULA VISTA
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State | CA
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Zip | 91910-6517
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Country | US
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Telephone | 619-933-3315
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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 | 3298
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License Number State | CA
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