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General NPI Number Information
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NPI Number | 1437020526
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Entity Type | Individual
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Provider Name | ANGEL DAVID MORA
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Gender | Male
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Dates
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Enumeration Date | 09/13/2025
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Last Update Date | 09/13/2025
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Provider Practice Location Address
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Address Line | 2240 E PLAZA BLVD
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City | NATIONAL CITY
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State | CA
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Zip | 91950-5164
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Country | US
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Telephone | 619-474-5916
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Fax |
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Provider Business Mailing Address
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Address Line | 5265 CENTRAL AVE
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City | BONITA
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State | CA
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Zip | 91902-2641
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Country | US
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Telephone |
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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 |
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License Number State | CA
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