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General NPI Number Information
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NPI Number | 1013315795
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Entity Type | Organization
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Legal Business Name | FINAL APPROACH HEALTH ENTERPRISES, INC.
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Dates
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Enumeration Date | 12/12/2014
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Last Update Date | 12/12/2014
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Provider Practice Location Address
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Address Line | 25612 BARTON RD SUITE #343
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City | LOMA LINDA
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State | CA
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Zip | 92354-3110
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Country | US
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Telephone | 909-649-2670
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Fax | 909-799-9046
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Provider Business Mailing Address
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Address Line | 25612 BARTON RD SUITE #343
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City | LOMA LINDA
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State | CA
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Zip | 92354-3110
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Country | US
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Telephone | 909-649-2670
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Fax | 909-799-9046
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. GLENN ALEXANDER THOMAS
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Credential | M.D.
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Telephone | 909-799-9042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | G63991
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License Number State | CA
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