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General NPI Number Information
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NPI Number | 1639984800
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Entity Type | Individual
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Provider Name | MR. ANGEL BAGGINI JR.
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Gender | Male
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 3323 N CAMPBELL AVE STE 2
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City | TUCSON
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State | AZ
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Zip | 85719-2360
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Country | US
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Telephone | 520-882-3309
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Fax |
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Provider Business Mailing Address
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Address Line | 11505 N PASEO ALEJANDRO
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City | MARANA
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State | AZ
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Zip | 85653-8704
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Country | US
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Telephone | 520-405-0031
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT-10813
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License Number State | AZ
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