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General NPI Number Information
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NPI Number | 1093376220
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Entity Type | Individual
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Provider Name | VINCENT ANN DPT
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Gender | Male
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 1500 OWENS ST STE 400
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City | SAN FRANCISCO
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State | CA
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Zip | 94158-2335
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Country | US
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Telephone | 415-353-7598
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Fax |
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Provider Business Mailing Address
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Address Line | 536 WALNUT AVE
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City | ARCADIA
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State | CA
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Zip | 91007-8338
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Country | US
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Telephone | 626-652-2827
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 296725
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License Number State | CA
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