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General NPI Number Information
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NPI Number | 1689553968
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Entity Type | Individual
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Provider Name | ANTHONY TRUJILLO LPTA
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Gender | Male
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 3915 MISSION AVE STE 7
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City | OCEANSIDE
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State | CA
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Zip | 92058-7801
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Country | US
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Telephone | 760-547-2854
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Fax | 877-298-4204
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Provider Business Mailing Address
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Address Line | 4776 CALLE ESTRELLA
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City | OCEANSIDE
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State | CA
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Zip | 92057-5903
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Country | US
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Telephone | 760-681-8721
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 54306
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License Number State | CA
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