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General NPI Number Information
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NPI Number | 1003161886
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Entity Type | Organization
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Legal Business Name | DOWNEY PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 07/23/2012
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Provider Practice Location Address
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Address Line | 11525 BROOKSHIRE AVE STE 109
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City | DOWNEY
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State | CA
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Zip | 90241
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Country | US
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Telephone | 562-861-0972
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Fax | 562-862-6949
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Provider Business Mailing Address
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Address Line | 11525 BROOKSHIRE AVE STE 109
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City | DOWNEY
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State | CA
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Zip | 90241
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Country | US
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Telephone | 562-861-0972
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Fax | 562-862-6949
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | DR. SAMIR M YOUNIS
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Credential | PT
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Telephone | 562-861-0972
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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 | PT 12834
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License Number State | CA
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