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General NPI Number Information
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NPI Number | 1871950881
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Entity Type | Individual
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Provider Name | ALMAR VALDEZ PT ASSISTANT
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Gender | Male
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 3075 FOOTHILL BOULEVARD UNIT 107
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City | LA CERESCENTA
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State | CA
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Zip | 91214
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Country | US
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Telephone | 213-422-6643
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Fax |
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Provider Business Mailing Address
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Address Line | 3075 FOOTHILL BLVD UNIT 107
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City | LA CRESCENTA
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State | CA
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Zip | 91214-2787
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Country | US
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Telephone | 213-422-6640
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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 | A6431
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License Number State | CA
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