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NPI 1588131262

NPI 1588131262 : ANGELO TRINIDAD SAYON : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1588131262
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELO TRINIDAD SAYON
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/31/2018
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    Last Update Date     |    10/31/2018
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Provider Practice Location Address
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    Address Line         |    6212 TUDOR WAY 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93306-7067
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    Country              |    US
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    Telephone            |    661-319-3242
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8201 CAMINO MEDIA APT 3 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93311-2011
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    Country              |    US
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    Telephone            |    843-902-3499
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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       |    49582
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    License Number State |    CA
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