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NPI 1508743865

NPI 1508743865 : ANDREA PATRICIA MEJIA PT, DPT : ANAHEIM, CA

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General NPI Number Information
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    NPI Number           |    1508743865
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREA PATRICIA MEJIA PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2025
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    Last Update Date     |    08/19/2025
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Provider Practice Location Address
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    Address Line         |    755 N SHEPARD ST 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92806-2836
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    Country              |    US
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    Telephone            |    714-630-6252
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    Fax                  |    714-630-6048
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Provider Business Mailing Address
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    Address Line         |    3230 E IMPERIAL HWY STE 100 
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    City                 |    BREA
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    State                |    CA
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    Zip                  |    92821-6735
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    Country              |    US
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    Telephone            |    714-256-5074
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    Fax                  |    714-256-0770
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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       |    308559
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    License Number State |    CA
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