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General NPI Number Information
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NPI Number | 1174854376
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Entity Type | Individual
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Provider Name | ANNE J HA RPT
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Gender | Female
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 2727 W OLYMPIC BLVD SUITE 302
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City | LOS ANGELES
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State | CA
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Zip | 90006-2637
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Country | US
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Telephone | 213-382-0088
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Fax | 213-380-2038
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Provider Business Mailing Address
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Address Line | 14097 TIGER LILY CT
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City | EASTVALE
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State | CA
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Zip | 92880-3227
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Country | US
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Telephone | 213-215-3371
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 29011
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License Number State | CA
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