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General NPI Number Information
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NPI Number | 1902300080
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Entity Type | Organization
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Legal Business Name | PAGADOR PHYSICAL THERAPY INCORPORATED
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 03/05/2020
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Provider Practice Location Address
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Address Line | 7801 MISSION CENTER CT STE 430
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City | SAN DIEGO
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State | CA
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Zip | 92108-1332
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Country | US
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Telephone | 619-296-5780
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Fax | 619-296-5787
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Provider Business Mailing Address
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Address Line | 7801 MISSION CENTER CT STE 430
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City | SAN DIEGO
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State | CA
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Zip | 92108-1332
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Country | US
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Telephone | 619-296-5780
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Fax | 619-296-5787
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS LILYANNE P PAGADOR
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Credential | PT
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Telephone | 619-296-5780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT400000
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License Number State | CA
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