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General NPI Number Information
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NPI Number | 1154724565
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Entity Type | Organization
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Legal Business Name | HA TRINH PHYSICAL THERAPY
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 08/28/2015
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Provider Practice Location Address
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Address Line | 1488 EL CAMINO REAL UNIT 208
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-1203
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Country | US
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Telephone | 323-229-1269
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Fax |
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Provider Business Mailing Address
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Address Line | 1488 EL CAMINO REAL UNIT 208
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-1203
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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 | PHYSICAL THERAPIST
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Name | HA TRINH
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Credential | PT
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Telephone | 323-229-1269
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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 | PT 32469
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License Number State | CA
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