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General NPI Number Information
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NPI Number | 1588475909
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Entity Type | Individual
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Provider Name | ANDREW ROJAS PTA
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Gender | Male
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 4300 CENTRAL AVE
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City | RIVERSIDE
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State | CA
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Zip | 92506-2918
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Country | US
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Telephone | 951-222-2206
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Fax |
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Provider Business Mailing Address
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Address Line | 9394 GRACE AVE
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City | FONTANA
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State | CA
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Zip | 92335-6108
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Country | US
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Telephone | 909-743-0045
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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 | 53365
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License Number State | CA
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