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General NPI Number Information
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NPI Number | 1619848652
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Entity Type | Individual
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Provider Name | JONATHAN ANTHONY ARROYAVE BS, PTA
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Gender | Male
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1026 E CHAPMAN AVE STE C
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City | ORANGE
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State | CA
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Zip | 92866-2152
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Country | US
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Telephone | 714-538-1952
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Fax | 714-538-1490
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Provider Business Mailing Address
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Address Line | 310 S JEFFERSON ST APT 23F
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City | PLACENTIA
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State | CA
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Zip | 92870-8483
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Country | US
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Telephone | 714-319-7239
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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 | 53772
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License Number State | CA
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