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General NPI Number Information
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NPI Number | 1447420302
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Entity Type | Organization
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Legal Business Name | NORA P CACANINDIN
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 342 W PORTAL AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94127-1412
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Country | US
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Telephone | 415-990-7379
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Fax |
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Provider Business Mailing Address
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Address Line | 236 W PORTAL AVE # 305
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City | SAN FRANCISCO
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State | CA
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Zip | 94127-1423
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Country | US
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Telephone | 415-990-7379
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NORA CACANINDIN
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Credential | PT
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Telephone | 415-990-7379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 10207
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License Number State | CA
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