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General NPI Number Information
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NPI Number | 1942114202
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Entity Type | Individual
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Provider Name | JOHN ERIC O TOLENTINO CRT
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Gender | Male
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 800 E WASHINGTON BLVD
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City | CRESCENT CITY
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State | CA
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Zip | 95531-8359
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Country | US
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Telephone | 707-464-8511
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 688
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City | CRESCENT CITY
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State | CA
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Zip | 95531-0688
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Country | US
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Telephone | 210-748-8803
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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 | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | 13973
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License Number State | CA
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