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General NPI Number Information
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NPI Number | 1154588432
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Entity Type | Organization
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Legal Business Name | WEST COAST PHYSICAL THERAPY AND BALANCE CENTER INC.
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 1120 FOREST AVE 218
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City | PACIFIC GROVE
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State | CA
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Zip | 93950-5105
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Country | US
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Telephone | 831-601-0708
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 FOREST AVE 218
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City | PACIFIC GROVE
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State | CA
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Zip | 93950-5105
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Country | US
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Telephone | 831-601-0708
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | TOD MICHAEL STEFFENILLA
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Credential | MPT
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Telephone | 831-601-0708
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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 | PT23986
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License Number State | CA
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