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General NPI Number Information
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NPI Number | 1043199516
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Entity Type | Organization
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Legal Business Name | GOODLIFE PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 639 E BARNARD ST APT 2
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City | BLYTHE
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State | CA
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Zip | 92225-1779
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Country | US
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Telephone | 760-847-7044
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 286
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City | BLYTHE
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State | CA
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Zip | 92226-0286
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PT
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Name | ANDREW RAMIREZ
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Credential |
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Telephone | 760-847-7044
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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 |
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License Number State |
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