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General NPI Number Information
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NPI Number | 1144457219
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Entity Type | Organization
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Legal Business Name | PRIMARY THERAPIES, INC.
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 08/28/2009
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Provider Practice Location Address
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Address Line | 808 BIDWELL ST SUITE B
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City | FOLSOM
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State | CA
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Zip | 95630-3041
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Country | US
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Telephone | 916-353-0197
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Fax | 916-353-0119
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Provider Business Mailing Address
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Address Line | 808 BIDWELL ST SUITE B
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City | FOLSOM
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State | CA
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Zip | 95630-3041
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Country | US
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Telephone | 916-353-0197
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Fax | 916-353-0119
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLINE EL ZAHR
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Credential | PT
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Telephone | 916-353-0197
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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 | 33599
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License Number State | CA
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