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General NPI Number Information
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NPI Number | 1124460019
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Entity Type | Organization
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Legal Business Name | SYMMETRY PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 07/22/2013
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Last Update Date | 07/22/2013
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Provider Practice Location Address
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Address Line | 13890 PALMDALE RD
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City | VICTORVILLE
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State | CA
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Zip | 92392-9289
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Country | US
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Telephone | 760-955-8100
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Fax | 866-526-5194
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Provider Business Mailing Address
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Address Line | 12996 LEAWOOD ST
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City | VICTORVILLE
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State | CA
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Zip | 92392-0567
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Country | US
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Telephone | 760-955-8100
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Fax | 866-526-5194
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JANICE FRIJAS-NEFF
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Credential |
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Telephone | 760-955-8100
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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 | CA
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