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General NPI Number Information
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NPI Number | 1447724323
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Entity Type | Organization
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Legal Business Name | DR. ADRIANA P. MESA, DPT PHYSICAL THERAPY
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Dates
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Enumeration Date | 01/14/2019
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Last Update Date | 01/14/2019
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Provider Practice Location Address
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Address Line | 734 E LAKE AVE STE 21
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City | WATSONVILLE
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State | CA
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Zip | 95076-3571
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Country | US
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Telephone | 831-713-7457
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Fax | 831-401-2340
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Provider Business Mailing Address
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Address Line | 369 ARBOL DR
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City | WATSONVILLE
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State | CA
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Zip | 95076-2758
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Country | US
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Telephone | 831-713-7457
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Fax | 831-401-2340
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADRIANA PATRICIA MESA
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Credential | DPT
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Telephone | 831-713-7457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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