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General NPI Number Information
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NPI Number | 1790424364
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Entity Type | Individual
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Provider Name | STEFANIE SARMIENTO DPT
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Gender | Female
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 24050 ALISO CREEK RD STE 1C
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-3937
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Country | US
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Telephone | 949-317-4454
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Fax |
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Provider Business Mailing Address
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Address Line | 29246 CHINKAPIN
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-4412
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Country | US
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Telephone | 714-553-0323
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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