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General NPI Number Information
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NPI Number | 1801401245
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Entity Type | Individual
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Provider Name | RACQUEL SARAUSAD COLINA
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Gender | Female
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Dates
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Enumeration Date | 09/11/2020
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 7801 RUSH RIVER DR
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City | SACRAMENTO
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State | CA
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Zip | 95831-4602
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Country | US
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Telephone | 161-974-3908
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Fax |
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Provider Business Mailing Address
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Address Line | 11 N BEACH PL
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City | SACRAMENTO
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State | CA
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Zip | 95835-2486
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Country | US
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Telephone | 808-773-6357
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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 | 298525
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License Number State | CA
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