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General NPI Number Information
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NPI Number | 1063436541
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Entity Type | Organization
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Legal Business Name | WEST BAY PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 700 S CLAREMONT ST SUITE 105
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City | SAN MATEO
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State | CA
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Zip | 94402-1452
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Country | US
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Telephone | 650-342-7887
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Fax | 650-342-7889
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Provider Business Mailing Address
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Address Line | 700 S CLAREMONT ST SUITE 105
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City | SAN MATEO
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State | CA
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Zip | 94402-1452
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Country | US
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Telephone | 650-342-7887
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Fax | 650-342-7889
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Authorized Official
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Title or Position | OWNER
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Name | MARINA TURNER
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Credential | P.T.
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Telephone | 650-342-7887
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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 | 13893
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License Number State | CA
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