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General NPI Number Information
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NPI Number | 1639546138
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Entity Type | Individual
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Provider Name | CURTIS RAY OSTAGGI PTA
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Gender | Male
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Dates
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Enumeration Date | 09/01/2015
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Last Update Date | 09/01/2015
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Provider Practice Location Address
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Address Line | 685 TWELVE BRIDGES DR
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City | LINCOLN
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State | CA
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Zip | 95648-8689
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Country | US
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Telephone | 916-408-5455
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Fax | 916-408-5454
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Provider Business Mailing Address
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Address Line | 3415 STONEY RD
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City | ROCKLIN
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State | CA
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Zip | 95765-4186
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Country | US
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Telephone | 916-705-2027
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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 | AT10434
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License Number State | CA
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