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General NPI Number Information
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NPI Number | 1841009602
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Entity Type | Individual
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Provider Name | JUSTIN Y SCHWARTZ
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Gender | Male
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 1929 N FAIRVIEW ST
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City | SANTA ANA
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State | CA
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Zip | 92706-2205
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Country | US
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Telephone | 714-554-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 2755 PINE CREEK CIR
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City | FULLERTON
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State | CA
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Zip | 92835-2938
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Country | US
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Telephone | 714-376-8591
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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 | 49229
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License Number State | CA
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