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General NPI Number Information
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NPI Number | 1467164525
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Entity Type | Individual
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Provider Name | EDGARDO CUELLAR-FRANCO DPT
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Gender | Male
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 88 ROWLAND WAY STE 250
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City | NOVATO
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State | CA
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Zip | 94945-5062
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Country | US
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Telephone | 415-484-1163
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Fax |
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Provider Business Mailing Address
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Address Line | 2429 SILVERIA WAY
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City | ANTIOCH
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State | CA
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Zip | 94531-8266
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Country | US
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Telephone | 408-480-5559
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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 | 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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