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General NPI Number Information
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NPI Number | 1548840135
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Entity Type | Individual
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Provider Name | JONATHAN SINANAN
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Gender | Male
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 3475 W ALTON GLOOR BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-4474
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Country | US
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Telephone | 956-589-1955
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Fax |
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Provider Business Mailing Address
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Address Line | 831 DAFFODIL
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City | LOS FRESNOS
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State | TX
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Zip | 78566-3524
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Country | US
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Telephone | 956-589-1955
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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 |
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License Number State |
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