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General NPI Number Information
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NPI Number | 1083989545
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Entity Type | Organization
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Legal Business Name | INFOCUS PHYSICAL THERAPY
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Dates
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Enumeration Date | 03/16/2012
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Last Update Date | 03/16/2012
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Provider Practice Location Address
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Address Line | 2504 SAMARITAN DR STE 20A
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City | SAN JOSE
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State | CA
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Zip | 95124-4005
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Country | US
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Telephone | 510-790-0383
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Fax | 510-790-1197
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Provider Business Mailing Address
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Address Line | 240 OAKHURST WAY
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City | MILPITAS
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State | CA
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Zip | 95035-4469
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Country | US
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Telephone | 215-833-4990
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Fax | 510-790-1197
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | RUPALI BHAVIN VYAS
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Credential |
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Telephone | 215-833-4990
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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 |
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License Number State |
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