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General NPI Number Information
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NPI Number | 1053125344
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY NETWORK SOLUTIONS INC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 381 CEDAR AVE
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City | BREA
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State | CA
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Zip | 92821-6602
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Country | US
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Telephone | 929-274-5342
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Fax |
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Provider Business Mailing Address
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Address Line | 700 E BIRCH ST UNIT 216
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City | BREA
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State | CA
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Zip | 92822-2011
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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 | PRESIDENT/OWNER
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Name | KHIEM TRAN
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Credential | DPT
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Telephone | 949-274-5342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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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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