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NPI 1790671436

NPI 1790671436 : MUSTARD SEEDS THERAPIES CA LLC : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1790671436
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    Entity Type          |    Organization 
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    Legal Business Name  |    MUSTARD SEEDS THERAPIES CA LLC 
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Dates
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    Enumeration Date     |    06/17/2025
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    Last Update Date     |    08/07/2025
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Provider Practice Location Address
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    Address Line         |    1401 21ST ST STE R 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95811-5226
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    Country              |    US
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    Telephone            |    786-847-2421
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    Fax                  |    786-847-2421
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Provider Business Mailing Address
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    Address Line         |    1231 BRIAN RD 
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    City                 |    PAHRUMP
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    State                |    NV
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    Zip                  |    89048-7392
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    AUTHORIZED OFFICIAL
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    Name                 |     MOHSIN  ZAREEN 
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    Credential           |    
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    Telephone            |    725-294-4349
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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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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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