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General NPI Number Information
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NPI Number | 1508986639
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Entity Type | Organization
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Legal Business Name | HENRY B. FAUNI
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13819 CARROTWOOD CT
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City | CHINO
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State | CA
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Zip | 91710-7470
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Country | US
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Telephone | 626-815-8647
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Fax |
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Provider Business Mailing Address
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Address Line | 13819 CARROTWOOD CT
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City | CHINO
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State | CA
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Zip | 91710-7470
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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 | PHYSICAL THERAPIST
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Name | MR. HENRY BAGTAS FAUNI
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Credential | RPT
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Telephone | 909-438-0312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 26QP2000X
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License Number State | CA
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