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General NPI Number Information
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NPI Number | 1699759506
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Entity Type | Individual
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Provider Name | ZENAIDA SALAO SANTOS PT
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Gender | Female
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 578 G ST
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City | BRAWLEY
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State | CA
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Zip | 92227-2411
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Country | US
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Telephone | 760-344-2157
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Fax | 760-344-2273
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Provider Business Mailing Address
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Address Line | 635 W MURPHY RD
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City | IMPERIAL
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State | CA
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Zip | 92251-9545
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Country | US
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Telephone | 760-355-4537
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Fax | 760-355-4537
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT10131
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License Number State | CA
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