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General NPI Number Information
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NPI Number | 1013309749
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Entity Type | Individual
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Provider Name | STEPHANY TRITT PT
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Gender | Female
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Dates
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Enumeration Date | 03/04/2015
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 95 N MARENGO AVE
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City | PASADENA
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State | CA
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Zip | 91101-1764
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Country | US
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Telephone | 626-776-0075
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Fax |
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Provider Business Mailing Address
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Address Line | 234 GLENULLEN DR
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City | PASADENA
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State | CA
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Zip | 91105-2184
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Country | US
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Telephone | 626-776-0075
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT27050
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 27050
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License Number State | CA
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