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General NPI Number Information
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NPI Number | 1902571870
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Entity Type | Individual
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Provider Name | MICHAEL ANDREW LEGASPI
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Gender | Male
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Dates
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Enumeration Date | 08/12/2021
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 210 N 4TH ST
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City | SAN JOSE
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State | CA
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Zip | 95112-5569
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Country | US
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Telephone | 408-750-4499
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Fax | 408-550-7433
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Provider Business Mailing Address
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Address Line | 877 TASSASARA DR
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City | MILPITAS
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State | CA
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Zip | 95035-4535
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Country | US
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Telephone | 408-750-4499
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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