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General NPI Number Information
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NPI Number | 1548819535
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Entity Type | Individual
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Provider Name | ERROL VINOYA TONGCO JR. PTA
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Gender | Male
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 39210 STATE ST
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City | FREMONT
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State | CA
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Zip | 94538-1456
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Country | US
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Telephone | 510-790-9490
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Fax | 510-790-9490
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Provider Business Mailing Address
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Address Line | 34640 ARROYO DR
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City | UNION CITY
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State | CA
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Zip | 94587-3696
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Country | US
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Telephone | 510-203-5568
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA50080
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License Number State | CA
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