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General NPI Number Information
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NPI Number | 1932532488
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Entity Type | Individual
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Provider Name | DILYANA GANCHEVA ALY D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 08/19/2013
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 29798 HAUN RD SUITE 201
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City | MENIFEE
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State | CA
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Zip | 92586-6541
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Country | US
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Telephone | 951-679-8500
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Fax | 951-679-8522
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Provider Business Mailing Address
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Address Line | 29645 RANCHO CALIFORNIA RD STE. 234
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City | TEMECULA
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State | CA
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Zip | 92591-6200
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Country | US
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Telephone | 951-506-3001
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Fax | 951-506-3002
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40279
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License Number State | CA
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