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General NPI Number Information
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NPI Number | 1114983640
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Entity Type | Organization
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Legal Business Name | ABA PHYSICAL THERAPY ASSOCIATES PC
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 04/09/2014
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Provider Practice Location Address
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Address Line | 1670 S AMPHLETT BLVD # 123
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City | SAN MATEO
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State | CA
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Zip | 94402-2512
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Country | US
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Telephone | 650-558-0247
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Fax | 650-558-1735
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Provider Business Mailing Address
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Address Line | 1670 S AMPHLETT BLVD # 123
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City | SAN MATEO
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State | CA
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Zip | 94402-2512
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Country | US
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Telephone | 650-558-0247
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Fax | 650-558-1735
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Authorized Official
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Title or Position | VP
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Name | KAREN L ANDERSON
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Credential | PT
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Telephone | 650-558-0247
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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 | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT010010
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT9998
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT3088
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT9671
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT9940
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT9657
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT24571
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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