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General NPI Number Information
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NPI Number | 1194920785
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Entity Type | Individual
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Provider Name | JULIEANN ELKINS MPT
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Gender | Female
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14301 VENTURA BLVD SHERMAN OAKS
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2716
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Country | US
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Telephone | 818-995-0918
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Fax |
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Provider Business Mailing Address
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Address Line | 12140 MOORPARK ST #204
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City | STUDIO CITY
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State | CA
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Zip | 91604-5213
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Country | US
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Telephone | 818-506-9413
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT32722
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License Number State | CA
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