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General NPI Number Information
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NPI Number | 1134031321
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Entity Type | Organization
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Legal Business Name | PELVITONE LLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 16486 BERNARDO CENTER DR STE 348
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City | SAN DIEGO
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State | CA
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Zip | 92128-2530
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Country | US
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Telephone | 858-588-4845
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Fax | 858-321-8518
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Provider Business Mailing Address
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Address Line | 4849 LYON ST
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City | SAN DIEGO
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State | CA
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Zip | 92102-2653
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER858
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Name | DANIELLE MARIE OWENS
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Credential | DPT
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Telephone | 856-237-6685
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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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