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General NPI Number Information
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NPI Number | 1619509064
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Entity Type | Individual
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Provider Name | ASHLEY REBECCA BAKHAJ
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Gender | Female
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Dates
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Enumeration Date | 02/04/2020
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 11225 TAMPA AVE
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City | NORTHRIDGE
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State | CA
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Zip | 91326-1610
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Country | US
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Telephone | 818-363-9970
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Fax | 818-363-9980
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Provider Business Mailing Address
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Address Line | 25115 AVENUE STANFORD STE B135
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City | VALENCIA
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State | CA
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Zip | 91355-1290
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Country | US
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Telephone | 661-250-9940
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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 | 308068
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 50525
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License Number State | CA
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