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General NPI Number Information
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NPI Number | 1558229229
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Entity Type | Individual
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Provider Name | DESTINY DE ALBA PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1011 RANCHO CONEJO BLVD
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City | NEWBURY PARK
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State | CA
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Zip | 91320-1718
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Country | US
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Telephone | 844-472-1476
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Fax |
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Provider Business Mailing Address
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Address Line | 198 N SKYLINE DR SPC 80
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-3429
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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 |
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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 | 309295
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License Number State | CA
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