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General NPI Number Information
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NPI Number | 1053664128
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Entity Type | Organization
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Legal Business Name | LOCAL MOTION PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 10/25/2012
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Last Update Date | 12/20/2012
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Provider Practice Location Address
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Address Line | 1628A CALIFORNIA STREET
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City | SAN FRANCISCO
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State | CA
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Zip | 94109
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Country | US
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Telephone | 415-694-9451
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Fax |
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Provider Business Mailing Address
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Address Line | 1628A CALIFORNIA STREET
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City | SAN FRANCISCO
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State | CA
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Zip | 94109
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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, CEO
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Name | TARA MCGANN FRIEDMAN
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Credential | DPT
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Telephone | 415-694-9451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 34892
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License Number State | CA
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