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General NPI Number Information
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NPI Number | 1720967789
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Entity Type | Individual
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Provider Name | ANTONIO SEGURA PEREZ JR.
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Gender | Male
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 901 N SANBORN RD
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City | SALINAS
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State | CA
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Zip | 93905-1308
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Country | US
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Telephone | 831-753-5764
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Fax |
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Provider Business Mailing Address
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Address Line | 1511 WHEELER DR APT 25
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City | SALINAS
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State | CA
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Zip | 93906-4116
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Country | US
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Telephone | 831-756-5227
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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