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General NPI Number Information
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NPI Number | 1912836834
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Entity Type | Individual
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Provider Name | NELSON TUMANDA
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Gender | Male
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Dates
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Enumeration Date | 05/16/2026
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Last Update Date | 05/16/2026
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Provider Practice Location Address
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Address Line | 39141 CIVIC CENTER DR STE 120
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City | FREMONT
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State | CA
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Zip | 94538-5831
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Country | US
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Telephone | 510-794-9672
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Fax |
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Provider Business Mailing Address
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Address Line | 48932 ROSEGARDEN CT
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City | FREMONT
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State | CA
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Zip | 94539-8034
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Country | US
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Telephone | 510-304-2131
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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 | AT6004
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License Number State | CA
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