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NPI 1982147799

NPI 1982147799 : JONATHAN R GUINEE DPT : FOLSOM, CA

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General NPI Number Information
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    NPI Number           |    1982147799
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    Entity Type          |    Individual 
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    Provider Name        |    JONATHAN R GUINEE DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/28/2016
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    Last Update Date     |    10/15/2025
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Provider Practice Location Address
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    Address Line         |    13405 FOLSOM BLVD STE 150 
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    City                 |    FOLSOM
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    State                |    CA
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    Zip                  |    95630-4738
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    Country              |    US
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    Telephone            |    916-905-6378
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    Fax                  |    916-672-0114
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Provider Business Mailing Address
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    Address Line         |    4990 HILLSDALE CIR 
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    City                 |    EL DORADO HILLS
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    State                |    CA
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    Zip                  |    95762-5770
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    Country              |    US
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    Telephone            |    916-905-6378
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    Fax                  |    916-672-0114
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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       |    PT292225
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    License Number State |    CA
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