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General NPI Number Information
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NPI Number | 1639312341
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Entity Type | Individual
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Provider Name | CALVIN BAGUIO TOLING PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 04/10/2009
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Last Update Date | 03/03/2016
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Provider Practice Location Address
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Address Line | 2140 W OLYMPIC BLVD 302
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City | LOS ANGELES
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State | CA
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Zip | 90006-2207
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Country | US
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Telephone | 213-487-7792
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Fax |
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Provider Business Mailing Address
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Address Line | 2140 W OLYMPIC BLVD 302
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City | LOS ANGELES
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State | CA
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Zip | 90006-2207
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Country | US
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Telephone | 213-487-7792
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 21993-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 18444
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT - 37846
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License Number State | CA
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