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General NPI Number Information
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NPI Number | 1538373808
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Entity Type | Individual
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Provider Name | MRS. NOREEN GAY CIUDADANO KNOX
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 39022 PRESIDIO WAY
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City | FREMONT
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State | CA
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Zip | 94538-1221
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Country | US
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Telephone | 510-792-3743
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Fax |
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Provider Business Mailing Address
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Address Line | 5595 WALNUT BLOSSOM DR APT 18
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City | SAN JOSE
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State | CA
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Zip | 95123-2283
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Country | US
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Telephone | 408-439-4253
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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 | 33306
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 027658
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License Number State | NY
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