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General NPI Number Information
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NPI Number | 1194342337
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Entity Type | Organization
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Legal Business Name | CLEMENT PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 07/04/2020
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Last Update Date | 08/31/2024
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Provider Practice Location Address
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Address Line | 16766 BERNARDO CENTER DR STE 112
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City | SAN DIEGO
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State | CA
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Zip | 92128-2501
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Country | US
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Telephone | 858-675-0007
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Fax |
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Provider Business Mailing Address
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Address Line | 16766 BERNARDO CENTER DR STE 112
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City | SAN DIEGO
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State | CA
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Zip | 92128-2501
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Country | US
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Telephone | 858-675-0007
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL CLEMENT
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Credential |
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Telephone | 858-675-0007
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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 |
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License Number State |
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