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General NPI Number Information
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NPI Number | 1700730520
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Entity Type | Individual
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Provider Name | CURTIS ALLEN BRAMELL
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Gender | Male
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 5910 PACIFIC AVE
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City | STOCKTON
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State | CA
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Zip | 95207-4704
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Country | US
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Telephone | 209-475-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1724 MONACO DR
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City | MANTECA
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State | CA
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Zip | 95336-7086
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Country | US
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Telephone | 209-275-5754
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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 | 54704
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License Number State | CA
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