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General NPI Number Information
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NPI Number | 1396134995
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Entity Type | Individual
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Provider Name | ALEX AGPASA
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Gender | Male
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Dates
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Enumeration Date | 01/20/2015
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 1002 W FREMONT AVE
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City | SUNNYVALE
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State | CA
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Zip | 94087-3031
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Country | US
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Telephone | 408-739-2383
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Fax |
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Provider Business Mailing Address
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Address Line | 12124 HIGH TECH AVE SUITE 300
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City | ORLANDO
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State | FL
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Zip | 32817-8373
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Country | US
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Telephone | 180-077-4778
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 41072
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License Number State | CA
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