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General NPI Number Information
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NPI Number | 1881557783
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Entity Type | Individual
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Provider Name | RIGOBERTO R GUTIERREZ
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Gender | Male
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 12204 CLARETTA ST # 601B
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City | SYLMAR
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State | CA
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Zip | 91342-6052
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Country | US
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Telephone | 562-489-5332
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Fax |
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Provider Business Mailing Address
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Address Line | 434 SW COLLEGE ST APT 601B
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City | PORTLAND
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State | OR
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Zip | 97201-5268
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Country | US
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Telephone | 562-489-5332
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Fax | 562-489-5332
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 88505
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License Number State | CA
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