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General NPI Number Information
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NPI Number | 1063155737
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Entity Type | Organization
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Legal Business Name | BEST PHYSICAL THERAPY & SPORTS MEDICINE, INC
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Dates
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Enumeration Date | 04/19/2022
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 2222 SANTA MONICA BLVD STE 105
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City | SANTA MONICA
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State | CA
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Zip | 90404-2305
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Country | US
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Telephone | 845-656-4207
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Fax |
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Provider Business Mailing Address
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Address Line | 8030 CROYDON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90045-3033
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Country | US
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Telephone | 845-656-4207
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRIDGET THOMPSON
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Credential | DPT
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Telephone | 845-656-4207
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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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