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General NPI Number Information
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NPI Number | 1215792379
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Entity Type | Organization
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Legal Business Name | EVERMORE THERAPY GROUP
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 851 W FOOTHILL BLVD STE 100
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City | RIALTO
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State | CA
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Zip | 92376-4731
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Country | US
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Telephone | 909-754-0683
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Fax |
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Provider Business Mailing Address
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Address Line | 851 W FOOTHILL BLVD STE 100
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City | RIALTO
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State | CA
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Zip | 92376-4731
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Country | US
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Telephone | 909-754-0683
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. EDNA BARRETT
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Credential | DPT
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Telephone | 909-754-0683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State |
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