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General NPI Number Information
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NPI Number | 1164654836
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Entity Type | Organization
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Legal Business Name | HEALTH PAL, CORPORATION
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Dates
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Enumeration Date | 08/14/2009
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Last Update Date | 08/14/2009
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Provider Practice Location Address
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Address Line | 8575 DIAMOND OAK WAY
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City | ELK GROVE
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State | CA
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Zip | 95624-1751
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Country | US
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Telephone | 916-718-9557
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Fax | 916-880-5606
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Provider Business Mailing Address
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Address Line | 8575 DIAMOND OAK WAY
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City | ELK GROVE
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State | CA
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Zip | 95624-1751
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Country | US
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Telephone | 916-718-9557
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Fax | 916-880-5606
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Authorized Official
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Title or Position | OWNER
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Name | JAMES MEJICA DIONISIO
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Credential | P.T.
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Telephone | 916-718-9557
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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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