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General NPI Number Information
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NPI Number | 1144375437
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Entity Type | Organization
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Legal Business Name | KNT PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 9001 WILSHIRE BLVD 102
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1838
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Country | US
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Telephone | 310-550-8585
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Fax | 310-860-0506
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Provider Business Mailing Address
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Address Line | 9001 WILSHIRE BLVD 102
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1838
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Country | US
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Telephone | 310-550-8585
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Fax | 310-860-0506
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KOUROSH SOLIMAN TEHRANI
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Credential | PT
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Telephone | 310-550-8585
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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 | PT18513
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License Number State | CA
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