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General NPI Number Information
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NPI Number | 1083813372
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Entity Type | Organization
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Legal Business Name | HEALTHSUMMIT PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 01/19/2013
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Provider Practice Location Address
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Address Line | 260 S SUNNYVALE AVE SUITE 2
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City | SUNNYVALE
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State | CA
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Zip | 94086-6287
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Country | US
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Telephone | 408-329-9604
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Fax | 408-262-1321
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Provider Business Mailing Address
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Address Line | 260 S SUNNYVALE AVE SUITE 2
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City | SUNNYVALE
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State | CA
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Zip | 94086-6287
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Country | US
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Telephone | 408-329-9604
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Fax | 408-262-1321
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Authorized Official
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Title or Position | PRESIDENT/DR. OF PHYSICAL THERAPY
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Name | DR. DEANNA LINTAG MEKATA
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Credential | D.P.T.
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Telephone | 650-823-2152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT23271
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License Number State | CA
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